Organization Active NPI

Road Runner Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Palm Bay, FL
National Provider Identifier
1720677834
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ROAD RUNNER MEDICAL SUPPLIES
Doing business as
Road Runner Medical Supplies
Practice address
571 Olsmar St SW # 32908
Palm Bay, FL 32908-4720
Phone
(954) 451-4284
NPI assigned
Jan 13, 2021
Last updated
Jan 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Delpha M Clarke Joseph
Title
Owner
Phone
(321) 728-0932

Specialties & licenses 1

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

Addresses

Primary practice location

571 Olsmar St SW # 32908
Palm Bay, FL 32908-4720

Mailing address

571 Olsmar St SW # 32908
Palm Bay, FL 32908-4720
Phone (954) 451-4284

Other names 1

  • Road Runner Medical Supplies 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": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1720677834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 OLSMAR ST SW # 32908",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329084720",
            "telephone_number": "954-451-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 OLSMAR ST SW # 32908",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329084720",
            "telephone_number": "954-451-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAD RUNNER MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "DELPHA M",
        "authorized_official_middle_name": "CLARKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-728-0932"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Road Runner Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.