Organization Active NPI

VMM, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Shawnee, OK
National Provider Identifier
1467750430
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
102995 Issued in OK
Legal business name
VMM, INC.
Doing business as
Medicine Shoppe #0736
Practice address
1006 N Harrison St
Shawnee, OK 74801-6419
Phone
(405) 273-7360
Fax
(405) 273-4384
NPI assigned
Mar 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Michael Vorndran, DPH
Title
Pharmacist-Owner
Phone
(405) 273-7360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 102995 OK Primary

Addresses

Primary practice location

1006 N Harrison St
Shawnee, OK 74801-6419

Mailing address

1006 N Harrison St
Shawnee, OK 74801-6419
Phone (405) 273-7360

Other identifiers 2

IdentifierTypeStateIssuer
100239580 BMedicaidOK
3715921OtherOKNCPDP

Other names 1

  • Medicine Shoppe #0736 Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1467750430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748016419",
            "telephone_number": "405-273-7360",
            "fax_number": "405-273-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748016419",
            "telephone_number": "405-273-7360",
            "fax_number": "405-273-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VMM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "VORNDRAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST-OWNER",
        "authorized_official_telephone_number": "405-273-7360",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "102995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100239580 B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3715921",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe #0736",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.