Organization Active NPI

Minimed Distribution Corp

  • Durable Medical Equipment & Medical Supplies
  • Charleston, SC
National Provider Identifier
1447417969
Registry record updated May 21, 2008
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
40 Calhoun St
Ste 475
Charleston, SC 29401-3500
Phone
(804) 262-6492
Fax
(804) 262-6493
NPI assigned
May 21, 2008
Organization subpart
Yes
Parent organization
MINIMED DISTRIBUTION CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Ms. Angela E Ward
Title
Senior Compliance Specialist
Phone
(804) 262-6492

Specialties & licenses 1

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

Addresses

Primary practice location

40 Calhoun St
Ste 475
Charleston, SC 29401-3500

Mailing address

18000 Devonshire St
Attn: Angela Ward, Legal Dept.
Northridge, CA 91325-1219
Phone (804) 262-6492

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

40 Calhoun St
Ste 475
Charleston, SC 29401
Phone (804) 262-6492

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1447417969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 DEVONSHIRE ST",
            "address_2": "ATTN: ANGELA WARD, LEGAL DEPT.",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251219",
            "telephone_number": "804-262-6492",
            "fax_number": "818-576-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CALHOUN ST",
            "address_2": "STE 475",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294013500",
            "telephone_number": "804-262-6492",
            "fax_number": "804-262-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMED DISTRIBUTION CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINIMED DISTRIBUTION CORP",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SENIOR COMPLIANCE SPECIALIST",
        "authorized_official_telephone_number": "804-262-6492",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.