Shine Medical Supplies LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SHINE MEDICAL SUPPLIES LLC

Practice address

21456 Danbury St
Woodhaven, MI 48183-1608

Phone

(734) 363-1390

NPI assigned

Mar 27, 2024

Organization subpart

No

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

Authorized official

Name

Afaq Zafar

Title

Owner

Phone

(734) 363-1390

Specialties & licenses 1

Addresses

Other names 1

• Shine medical supplies LLC Doing business as

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1730930918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21456 DANBURY ST",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481831608",
            "telephone_number": "734-363-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21456 DANBURY ST",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481831608",
            "telephone_number": "734-363-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "ZAFAR",
        "authorized_official_first_name": "AFAQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-363-1390"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shine medical supplies LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ernest Shepherd, PHARMACIST
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• Caitlin Marie Shewcraft, D.C.
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• Elizabeth Ann Simpkins, PHARMD
• Leah Mae Sindone
• Frank Hardeep Singh, D.O.
• Michelle Ann Smith

• Customized Equipment (DME) in Woodhaven, MI
• Providers in Woodhaven, MI by specialty
• Customized Equipment (DME) in Michigan

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