On-Call Medical Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ON-CALL MEDICAL SUPPLIES, LLC

Practice address

5889 S Williamson Blvd Ste 1305
Port Orange, FL 32128-6109

Phone

(386) 322-9111

Fax

(386) 322-0991

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

John E Evans, APR, CPRC

Title

General Manager

Phone

(386) 322-9111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1386725828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5889 S WILLIAMSON BLVD STE 1305",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286109",
            "telephone_number": "386-322-9111",
            "fax_number": "386-322-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5889 S WILLIAMSON BLVD STE 1305",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286109",
            "telephone_number": "386-322-9111",
            "fax_number": "386-322-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-CALL MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "386-322-9111",
        "authorized_official_credential": "APR, CPRC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.