Organization Active NPI

Premier Medical Supply and Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • West Palm Beach, FL
National Provider Identifier
1790392884
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PREMIER MEDICAL SUPPLY AND EQUIPMENT LLC
Practice address
1623 Embassy Dr Apt 202
West Palm Beach, FL 33401-1918
Phone
(631) 617-1205
NPI assigned
Sep 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Jonathan Colton
Title
Member Manager
Phone
(631) 617-1205

Specialties & licenses 1

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

Addresses

Primary practice location

1623 Embassy Dr Apt 202
West Palm Beach, FL 33401-1918

Mailing address

2028 Harrison St Ste 201-8
Hollywood, FL 33020-7845
Phone (754) 263-2962

National Provider Directory

National Provider Directory

Locations

2028 Harrison St
Ste 2018
Hollywood, FL 33020
Phone (754) 263-2962

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1790392884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 HARRISON ST STE 201-8",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330207845",
            "telephone_number": "754-263-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 EMBASSY DR APT 202",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011918",
            "telephone_number": "631-617-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL SUPPLY AND EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "COLTON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "631-617-1205"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.