Lucky Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LUCKY MEDICAL SUPPLY, INC

Practice address

14004 Roosevelt Blvd Ste 612
Clearwater, FL 33762-3819

Phone

(727) 351-7948

NPI assigned

Jan 4, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Ismail Kabook

Title

Owner

Phone

(727) 351-7948

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517616000000",
    "number": "1730696378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14004 ROOSEVELT BLVD STE 612",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623819",
            "telephone_number": "727-351-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14004 ROOSEVELT BLVD STE 612",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623819",
            "telephone_number": "727-351-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-02-03",
        "status": "A",
        "authorized_official_last_name": "KABOOK",
        "authorized_official_first_name": "ISMAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-351-7948",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thipharot Luangamath, CRT
• Vanessa Jean Lucarella, MD
• Brunella Lucchi, LMT
• Lucidity Healing LLC
• Jacqueline Claudia Lucke, DPM
• Jacob A Ludin, MD
• Erin Marie Ludwig
• Mark David Lueck, PT, DC
• Christopher Norman Luecke, ARNP
• James Anthony Lugo, DAOM, MPH, L.AC.,CPH

• Durable Medical Equipment & Medical Supplies in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2018; 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.