Medline Industries, LP

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDLINE INDUSTRIES, LP

Practice address

1500 Medline PL
McDonough, GA 30253-7664

Phone

(770) 320-7037

Fax

(770) 320-7907

NPI assigned

Jun 23, 2020

Organization subpart

No

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

Authorized official

Name

Zachary Pocklington

Title

SVP Homecare and Managed Care

Phone

(844) 265-6512

Specialties & licenses 1

Addresses

Other names 1

• Medline Industries, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376169607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAKES DR",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932753",
            "telephone_number": "844-265-6512",
            "fax_number": "866-779-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MEDLINE PL",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537664",
            "telephone_number": "770-320-7037",
            "fax_number": "770-320-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLINE INDUSTRIES, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "POCKLINGTON",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "SVP HOMECARE AND MANAGED CARE",
        "authorized_official_telephone_number": "844-265-6512"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medline Industries, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in McDonough, GA
• Providers in McDonough, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.