NPIMap

Organization Active NPI

Minimed Distribution Corp.

  • Durable Medical Equipment & Medical Supplies
  • Miami Lakes, FL
National Provider Identifier
1386890408
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MINIMED DISTRIBUTION CORP.
Practice address
14420 NW 60TH Ave BLDG 7B
Miami Lakes, FL 33014-2807
Phone
(800) 646-4633
Fax
(818) 739-4414
NPI assigned
Aug 8, 2008
Last updated
Mar 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MINIMED DISTRIBUTION CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Angela Ward
Title
Principal Operations Specialist
Phone
(804) 550-2017

Specialties & licenses 1

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

Addresses

Primary practice location

14420 NW 60TH Ave BLDG 7B
Miami Lakes, FL 33014-2807

Mailing address

18000 Devonshire St
Attn: Managed Markets
Northridge, CA 91325-1219
Phone (800) 646-4633

Other identifiers 1

IdentifierTypeStateIssuer
952036800MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Minimed Distribution Corp18 organizations share this tax ID, including this one
Part of
Minimed Distribution Corp

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

9850 NW 41st St
Ste 450
Doral, FL 33178

14420 NW 60th Ave
Bldg 7B
Miami Lakes, FL 33014
Phone (800) 646-4633

14400 NW 60th Ave
Miami Lakes, FL 33014

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1386890408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 DEVONSHIRE ST",
            "address_2": "ATTN: MANAGED MARKETS",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251219",
            "telephone_number": "800-646-4633",
            "fax_number": "818-739-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14420 NW 60TH AVE BLDG 7B",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142807",
            "telephone_number": "800-646-4633",
            "fax_number": "818-739-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMED DISTRIBUTION CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINIMED DISTRIBUTION CORP.",
        "enumeration_date": "2008-08-08",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRINCIPAL OPERATIONS SPECIALIST",
        "authorized_official_telephone_number": "804-550-2017"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "952036800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.