Integrity Medical Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

INTEGRITY MEDICAL SUPPLIES, LLC

Practice address

13603 W Camino del Sol Ste E
Sun City West, AZ 85375-4483

Phone

(219) 256-9750

NPI assigned

May 26, 2020

Last updated

Sep 17, 2020By 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

Derick Staggers

Title

President

Phone

(219) 256-9750

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1700409687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13603 W CAMINO DEL SOL STE E",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754483",
            "telephone_number": "623-777-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13603 W CAMINO DEL SOL STE E",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754483",
            "telephone_number": "219-256-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "STAGGERS",
        "authorized_official_first_name": "DERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-256-9750"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Officeally",
            "affiliation": "N",
            "address_1": "13603 W Camino Del Sol Ste E",
            "city": "Sun City West",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853754483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.