NPIMap

Organization Active NPI

My Med Supply Store, Inc

  • Durable Medical Equipment & Medical Supplies
  • Longwood, FL
National Provider Identifier
1407182736
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MY MED SUPPLY STORE, INC
Practice address
1000 Savage CT
Sutie 109
Longwood, FL 32750-4910
Phone
(407) 235-4405
Fax
(877) 266-4020
NPI assigned
Oct 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Andres Verney
Title
President
Phone
(407) 235-4405

Specialties & licenses 1

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

Addresses

Primary practice location

1000 Savage CT
Sutie 109
Longwood, FL 32750-4910

Mailing address

1000 Savage CT
Suite 109
Longwood, FL 32750-4910
Phone (407) 260-2211

National Provider Directory

National Provider Directory

Locations

1000 Savage Ct
Ste 109
Longwood, FL 32750
Phone (407) 235-4405

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1407182736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SAVAGE CT",
            "address_2": "SUITE 109",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504910",
            "telephone_number": "407-260-2211",
            "fax_number": "877-266-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SAVAGE CT",
            "address_2": "SUTIE 109",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504910",
            "telephone_number": "407-235-4405",
            "fax_number": "877-266-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MED SUPPLY STORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "VERNEY",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-235-4405"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.