Blue Star Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BLUE STAR MEDICAL SUPPLY INC.

Practice address

4701 N Federal Hwy Ste 324
Pompano Beach, FL 33064-6563

Phone

(954) 488-4907

NPI assigned

Dec 28, 2022

Organization subpart

No

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

Authorized official

Name

Ryan GreeneNPI 1063012201

Title

President

Phone

(954) 488-4907

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Greene

  • Durable Medical Equipment & Medical Supplies
  • Oakland Park, FL
  • NPI 1063012201
  NPD Authorized official

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1760195390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY STE 324",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY STE 324",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646563",
            "telephone_number": "954-488-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-488-4907"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Marie Blixt
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• Jaline Boccuzzi, DMD PA
• Tory Marie Bock
• Terry L. Boeckel, OD

• Durable Medical Equipment & Medical Supplies in Pompano Beach, FL
• Providers in Pompano Beach, 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 Dec 28, 2022; 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.