NPIMap

Organization Active NPI

Heartland Medical Supply Inc

Doing business as Heartland Pharmacy & Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Lake Placid, FL
National Provider Identifier
1457494155
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PH15581 Issued in FL
Legal business name
HEARTLAND MEDICAL SUPPLY INC
Doing business as
Heartland Pharmacy & Medical Supply
Practice address
204 US 27 S
Lake Placid, FL 33852-7900
Phone
(863) 465-0024
Fax
(863) 465-9656
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Robert E. Duncan, R.PH.
Title
President
Phone
(863) 385-7673

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PH15581 FL Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X PH15581 FL
Oxygen Equipment & Supplies (DME) 332BX2000X PH15581 FL
Prosthetic/Orthotic Supplier 335E00000X PH15581 FL

Addresses

Primary practice location

204 US 27 S
Lake Placid, FL 33852-7900

Mailing address

6360 US Highway 27 N
Sebring, FL 33870-1225
Phone (863) 386-0081

Other identifiers 2

IdentifierTypeStateIssuer
1083663OtherFLNCPDP
P7903OtherFLBCBS PROVIDER NUMBER

Other names 1

  • Heartland Pharmacy & Medical Supply Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heartland Medical Supply Inc2 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.

Locations

6360 US 27 N
Sebring, FL 33870
Phone (863) 385-5588

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1457494155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 US HIGHWAY 27 N",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701225",
            "telephone_number": "863-386-0081",
            "fax_number": "863-385-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 US 27 S",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338527900",
            "telephone_number": "863-465-0024",
            "fax_number": "863-465-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-385-7673",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH15581",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "FL",
            "license": "PH15581",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "PH15581",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "PH15581",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1083663",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "P7903",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Pharmacy & Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Placid, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.