Organization Active NPI

Suncoast Medicare Supply Co. Inc.

  • Durable Medical Equipment & Medical Supplies
  • St Petersburg, FL
National Provider Identifier
1619933348
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
210 Issued in FL
Legal business name
SUNCOAST MEDICARE SUPPLY CO. INC.
Practice address
830 49TH St N
Saint Petersburg, FL 33710-6612
Phone
(727) 821-7015
Fax
(727) 894-6182
NPI assigned
Apr 21, 2006
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Mr. Barry E Baldwin
Title
President Cfo
Phone
(727) 821-7015

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 210 FL Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 32:00281 FL

Addresses

Primary practice location

830 49TH St N
Saint Petersburg, FL 33710-6612

Mailing address

929 Tyrone Blvd N
Saint Petersburg, FL 33710-6332
Phone (727) 821-7015

National Provider Directory

National Provider Directory

Locations

1145 53rd Ave W
Bradenton, FL 34207
Phone (941) 758-7768

1641 Commerce Ave N
Saint Petersburg, FL 33716
Phone (727) 345-0030

929 Tyrone Blvd N
Saint Petersburg, FL 33710

656 Central Ave
St Petersburg, FL 33701
Phone (727) 821-7015

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1619933348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 TYRONE BLVD N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337106332",
            "telephone_number": "727-821-7015",
            "fax_number": "727-894-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 49TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337106612",
            "telephone_number": "727-821-7015",
            "fax_number": "727-894-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST MEDICARE SUPPLY CO. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT  CFO",
        "authorized_official_telephone_number": "727-821-7015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "210",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "32:00281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.