Olympic Medical Supply, Limited

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OLYMPIC MEDICAL SUPPLY, LIMITED

Practice address

2645 1St Ave S Ste 114
Minneapolis, MN 55408

Phone

(612) 423-2852

Fax

(612) 354-2960

NPI assigned

Jul 8, 2015

Organization subpart

No

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

Authorized official

Name

Abdulahi A MohamedNPI 1255669156

Title

Business Manager

Phone

(612) 423-2852

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdulahi Abdi Mohamed, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1255669156
  NPD Authorized official

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1396128302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 1ST AVE S STE 114",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081806",
            "telephone_number": "612-423-2852",
            "fax_number": "612-354-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 1ST AVE S STE 114",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55408",
            "telephone_number": "612-423-2852",
            "fax_number": "612-354-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC MEDICAL SUPPLY, LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDULAHI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "612-423-2852"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ioana Oltean, DO
• Davd M Oltmans, D.D.S.
• Olu'S Center
• Olu'S Home, Inc.
• Olympic Care Transportation LLC
• Olivia Olynick
• Elicia Marie Omalley, LADC
• Elizabeth Renee Oman, NP-C
• Nicole Marie Oman, LGSW
• Abdiaziz Omar

• Durable Medical Equipment & Medical Supplies in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

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