Active NPI
Medical Supplies Company
- Durable Medical Equipment & Medical Supplies
- West Palm Beach, FL
National Provider Identifier
1508913211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- Z3689
- Legal business name
- MEDICAL SUPPLIES COMPANY
- Practice address
- 5443 Cresthaven Blvd Apt D
West Palm Beach, FL 33415-8073 - Phone
- (201) 953-4479
- NPI assigned
- Jan 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Joseph Ownes Jr.
- Title
- Propretor
- Phone
- (201) 953-4479
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Z3689 | UT | Primary |
Addresses
Primary practice location
5443 Cresthaven Blvd Apt D
West Palm Beach, FL 33415-8073
Mailing address
5443 Cresthaven Blvd Apt D
West Palm Beach, FL 33415-8073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z3689 | Medicaid | UT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508913211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5443 CRESTHAVEN BLVD APT D",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334158073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5443 CRESTHAVEN BLVD APT D",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334158073",
"telephone_number": "201-953-4479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL SUPPLIES COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OWNES",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PROPRETOR",
"authorized_official_telephone_number": "201-953-4479",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "UT",
"license": "Z3689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z3689",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.