365 Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

365 MEDICAL SUPPLIES LLC

Practice address

800 W Oakland Park Blvd Ste 203
Wilton Manors, FL 33311-1733

Phone

(800) 848-0287

NPI assigned

Aug 4, 2022

Last updated

Aug 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kery Alce

Title

President

Phone

(754) 308-9283

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1780311183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W OAKLAND PARK BLVD STE 203",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333111733",
            "telephone_number": "800-848-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W OAKLAND PARK BLVD STE 203",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333111733",
            "telephone_number": "800-848-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "365 MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "ALCE",
        "authorized_official_first_name": "KERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-308-9283"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.dropbox.com/scl/fo/cplywoyemzuyfzzn4vifj/h?dl=0&rlkey=swubanzusbk5i59qh64zeamsw",
            "affiliation": "N",
            "endpointDescription": "Patient Folder",
            "address_1": "800 W Oakland Park Blvd Ste 203",
            "city": "Wilton Manors",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333111733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.