KR Medical Solutions

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

KR MEDICAL SOLUTIONS

Doing business as

Pandenimm LLC

Practice address

118 N Meteor Ave Ste D
Clearwater, FL 33765-3045

Phone

(727) 307-2628

Fax

(727) 270-9735

NPI assigned

Apr 19, 2021

Organization subpart

Yes

Parent organization

PANDENIMM LLCAs reported in NPPES

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

Authorized official

Name

Mariah M Harris

Title

Owner

Phone

(727) 307-2628

Specialties & licenses 1

Addresses

Other names 1

• Pandenimm LLC Doing business as

Locations

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1376124693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 26TH AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337123534",
            "telephone_number": "727-307-2628",
            "fax_number": "727-270-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N METEOR AVE STE D",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653045",
            "telephone_number": "727-307-2628",
            "fax_number": "727-270-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KR MEDICAL SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PANDENIMM LLC",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-307-2628"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pandenimm LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.