Key Diabetes Supply Co

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KEY DIABETES SUPPLY CO

Practice address

11585 Farmington Rd
Livonia, MI 48150-5729

Phone

(954) 975-2281

Fax

(800) 477-5801

NPI assigned

Jul 25, 2006

Organization subpart

Yes

Parent organization

OWENS & MINOR HEALTHCARE SUPPLY, INC.As reported in NPPES

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

Authorized official

Name

William K Stocksdale

Title

Division President

Phone

(954) 975-0036

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AOM Healthcare Solutions Doing business as

Tax ID family

Aom Healthcare Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Key Diabetes Supply Co

  • Durable Medical Equipment & Medical Supplies
  • Livonia, MI
  • NPI 1285631986
  NPD tax ID

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1427071364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841689",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752841689",
            "telephone_number": "954-975-2281",
            "fax_number": "800-477-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11585 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481505729",
            "telephone_number": "954-975-2281",
            "fax_number": "800-477-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY DIABETES SUPPLY CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OWENS & MINOR HEALTHCARE SUPPLY, INC.",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "STOCKSDALE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIVISION PRESIDENT",
        "authorized_official_telephone_number": "954-975-0036"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4415845",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AOM Healthcare Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Kersten, PHARMD
• Brandon Keskitalo, PT, DPT
• Janet Grace Kester, LMSW
• Mallory M Kestler
• Key Diabetes Supply Co
• Ashley Keyes, DPT
• Emily Keyes
• Marsha Keys
• Khaled H El-Hoshy MD PC
• Jowher Khaleel, M.D.

• Durable Medical Equipment & Medical Supplies in Livonia, MI
• Providers in Livonia, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.