Organization Active NPI

CPL Enterprises Inc

  • Durable Medical Equipment & Medical Supplies
  • Southfield, MI
National Provider Identifier
1720014715
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5301004562 Issued in MI
Legal business name
CPL ENTERPRISES INC
Practice address
27159 Greenfield Rd
Southfield, MI 48076-5135
Phone
(248) 557-8840
Fax
(248) 569-9576
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Mr. Paul Charles Krause, RPH
Title
Owner
Phone
(248) 557-8840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5301004562 MI Primary

Addresses

Primary practice location

27159 Greenfield Rd
Southfield, MI 48076-5135

Mailing address

27159 Greenfield Rd
Southfield, MI 48076-5135
Phone (248) 557-8840

Other identifiers 2

IdentifierTypeStateIssuer
4095272MedicaidMI
540F30741OtherMIBCBS DME PROVIDER NUMBER

Other names 1

  • The Medicine Cabinet Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1720014715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27159 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765135",
            "telephone_number": "248-557-8840",
            "fax_number": "248-569-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27159 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765135",
            "telephone_number": "248-557-8840",
            "fax_number": "248-569-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPL ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-557-8840",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5301004562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4095272",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DME PROVIDER NUMBER",
            "identifier": "540F30741",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Cabinet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.