Organization Active NPI

LMC Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
National Provider Identifier
1497821946
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LMC MEDICAL SUPPLIES, INC.
Practice address
950 Peninsula Corporate Cir Ste 1022
Boca Raton, FL 33487-1385
Phone
(877) 855-6655
Fax
(561) 828-8228
NPI assigned
Nov 27, 2006
Last updated
Apr 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Ms. Bonnie Knickerbocker
Title
Ceo
Phone
(877) 855-6655

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X FL Primary
Community/Retail Pharmacy 3336C0003X PH25928 FL

Addresses

Primary practice location

950 Peninsula Corporate Cir Ste 1022
Boca Raton, FL 33487-1385

Mailing address

950 Peninsula Corporate Cir Ste 1022
Boca Raton, FL 33487-1385
Phone (877) 855-6655

Other practice location 1

1090 Holland Dr
Suite 3
Boca Raton, FL 33487-2719
Phone (561) 995-0611 ext. 5501

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1090 Holland Dr
Ste 3
Boca Raton, FL 33487
Phone 5619950611 ext. 5501

950 Peninsula Corporate Cir
Ste 1022
Boca Raton, FL 33487
Phone (561) 995-0611

950 Peninsula Corporate Cir
Ste 1024
Boca Raton, FL 33487
Phone (561) 995-0611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1497821946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 PENINSULA CORPORATE CIR STE 1022",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871385",
            "telephone_number": "877-855-6655",
            "fax_number": "561-828-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 PENINSULA CORPORATE CIR STE 1022",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871385",
            "telephone_number": "877-855-6655",
            "fax_number": "561-828-8228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 Holland Dr",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334872719",
            "country_code": "US",
            "telephone_number": "561-995-0611 x5501",
            "fax_number": "561-995-8188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LMC MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "KNICKERBOCKER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-855-6655",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.