Organization Active NPI

Millenium Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Puyallup, WA
National Provider Identifier
1487278115
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MILLENIUM MEDICAL SUPPLY LLC
Practice address
11910 Meridian E Ste a
Puyallup, WA 98373-3433
Phone
(253) 268-0941
NPI assigned
May 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Fairuz Hussein
Title
Manager
Phone
(253) 268-0941

Specialties & licenses 1

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

Addresses

Primary practice location

11910 Meridian E Ste a
Puyallup, WA 98373-3433

Mailing address

11910 Meridian E Ste a
Puyallup, WA 98373-3433
Phone (253) 268-0941

National Provider Directory

National Provider Directory

Locations

11910 Meridian E
Ste A
Puyallup, WA 98373
Phone (253) 268-0941

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1487278115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11910 MERIDIAN E STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733433",
            "telephone_number": "253-268-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11910 MERIDIAN E STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733433",
            "telephone_number": "253-268-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENIUM MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "FAIRUZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-268-0941"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.