Medline Industries, LP

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1364 Issued in AL

Legal business name

MEDLINE INDUSTRIES, LP

Practice address

735 County Road 4 E
Prattville, AL 36067-6613

Phone

(866) 356-4997

NPI assigned

Dec 15, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Medline Industries, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1588108237",
    "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": "735 COUNTY ROAD 4 E",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360676613",
            "telephone_number": "866-356-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLINE INDUSTRIES, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "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": "AL",
            "license": "1364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medline Industries, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Prattville, AL
• Providers in Prattville, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• 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.