Essential Medical Shop, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

HMEL 11687 Issued in OH

Legal business name

ESSENTIAL MEDICAL SHOP, LLC

Doing business as

Essential Medical Shop

Practice address

8385 N Main St
Dayton, OH 45415-1602

Phone

(937) 890-0449

Fax

(937) 890-0454

NPI assigned

May 19, 2015

Last updated

May 19, 2015By 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

Mr. Yakub Oladele

Title

President

Phone

(937) 890-0449

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Essential Medical Shop Doing business as

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1619356086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8385 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151602",
            "telephone_number": "937-890-0449",
            "fax_number": "937-890-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8385 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151602",
            "telephone_number": "937-890-0449",
            "fax_number": "937-890-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL MEDICAL SHOP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "OLADELE",
        "authorized_official_first_name": "YAKUB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-890-0449",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "HMEL 11687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "HMEL 11687",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essential Medical Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Dayton, OH
• Providers in Dayton, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.