NPIMap

Organization Active NPI

Fort Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Lancaster, CA
National Provider Identifier
1619064771
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
44753 Issued in CA
Legal business name
FORT MEDICAL SUPPLIES, INC.
Practice address
743 W Avenue I
Suite B
Lancaster, CA 93534-1924
Phone
(661) 726-9990
Fax
(661) 726-7994
NPI assigned
Oct 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Femi Ola
Title
President
Phone
(661) 726-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 44753 CA Primary

Addresses

Primary practice location

743 W Avenue I
Suite B
Lancaster, CA 93534-1924

Mailing address

743 W Avenue I
Suite B
Lancaster, CA 93534-1924
Phone (661) 726-9990

National Provider Directory

National Provider Directory

Locations

743 W Avenue I
Spc B
Lancaster, CA 93534
Phone (661) 726-9990

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619064771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 W AVENUE I",
            "address_2": "SUITE B",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935341924",
            "telephone_number": "661-726-9990",
            "fax_number": "661-726-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 W AVENUE I",
            "address_2": "SUITE B",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935341924",
            "telephone_number": "661-726-9990",
            "fax_number": "661-726-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLA",
        "authorized_official_first_name": "FEMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-726-9990",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "44753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

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.

Verify at the official NPI Registry.