Organization Active NPI

Medline Industries, LP

  • Durable Medical Equipment & Medical Supplies
  • Kansas City, MO
National Provider Identifier
1487277687
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDLINE INDUSTRIES, LP
Practice address
1401 Universal Ave
Kansas City, MO 64120-2139
Phone
(816) 483-1083
Fax
(816) 483-1086
NPI assigned
May 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Zachary Pocklington
Title
SVP Homecare and Managed Care
Phone
(844) 265-6512

Specialties & licenses 1

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

Addresses

Primary practice location

1401 Universal Ave
Kansas City, MO 64120-2139

Mailing address

3 Lakes Dr
Attn: Homecare Compliance
Northfield, IL 60093-2753
Phone (844) 265-6512

Other names 1

  • Medline Industries, Inc. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487277687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAKES DR",
            "address_2": "ATTN: HOMECARE COMPLIANCE",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932753",
            "telephone_number": "844-265-6512",
            "fax_number": "866-779-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 UNIVERSAL AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641202139",
            "telephone_number": "816-483-1083",
            "fax_number": "816-483-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLINE INDUSTRIES, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "POCKLINGTON",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "SVP HOMECARE AND MANAGED CARE",
        "authorized_official_telephone_number": "844-265-6512"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medline Industries, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.