Organization Active NPI

Clayton Supply Resources LLC

  • Durable Medical Equipment & Medical Supplies
  • Lake Worth, FL
National Provider Identifier
1780171322
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CLAYTON SUPPLY RESOURCES LLC
Practice address
8401 Lake Worth Rd Ste 232
Lake Worth, FL 33467-2400
Phone
(888) 698-5567
NPI assigned
Apr 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Authorized official

Name
Anthony A Vespucci
Title
MBR
Phone
(888) 698-5567

Specialties & licenses 1

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

Addresses

Primary practice location

8401 Lake Worth Rd Ste 232
Lake Worth, FL 33467-2400

Mailing address

8401 Lake Worth Rd Ste 232
Lake Worth, FL 33467-2400
Phone (888) 698-5567

National Provider Directory

National Provider Directory

Locations

2755 S Federal Hwy
Ste 17
Boynton Beach, FL 33435
Phone (561) 509-0334

8401 Lake Worth Rd
Ste 232
Lake Worth, FL 33467
Phone (888) 698-5567

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1780171322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 LAKE WORTH RD STE 232",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672400",
            "telephone_number": "888-698-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 LAKE WORTH RD STE 232",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672400",
            "telephone_number": "888-698-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON SUPPLY RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "VESPUCCI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "888-698-5567"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.