Organization Active NPI

Campbell Medical Supply, Inc

  • Durable Medical Equipment & Medical Supplies
  • Largo, FL
National Provider Identifier
1366933053
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CAMPBELL MEDICAL SUPPLY, INC
Practice address
11350 66TH St Ste 101
Largo, FL 33773-5524
Phone
(727) 286-6102
NPI assigned
May 29, 2018
Last updated
May 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maurice Campbell
Title
Owner
Phone
(727) 286-6102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

11350 66TH St Ste 101
Largo, FL 33773-5524

Mailing address

11350 66TH St Ste 101
Largo, FL 33773-5524
Phone (727) 286-6102

National Provider Directory

National Provider Directory

Locations

11350 66th St
Ste 101
Largo, FL 33773
Phone (727) 286-6102

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1366933053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 66TH ST STE 101",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735524",
            "telephone_number": "727-286-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 66TH ST STE 101",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735524",
            "telephone_number": "727-286-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-286-6102"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.