Active NPI
Parker Healthcare Products, Inc.
- Customized Equipment (DME)
- Melbourne, FL
National Provider Identifier
1790747822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 1452
- Legal business name
- PARKER HEALTHCARE PRODUCTS, INC.
- Practice address
- 1112 W New Haven Ave
Melbourne, FL 32904-4056 - Phone
- (321) 956-4000
- Fax
- (321) 726-0972
- NPI assigned
- Apr 4, 2006
- Last updated
- Jul 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Shawn Parker
- Title
- President
- Phone
- (321) 956-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 1452 | FL | Primary |
Addresses
Primary practice location
1112 W New Haven Ave
Melbourne, FL 32904-4056
Mailing address
1112 W New Haven Ave
Melbourne, FL 32904-4056
Phone (321) 956-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R9714 | Other | FL | BCBS |
National Provider Directory
National Provider DirectoryLocations
1112 W New Haven Ave
Melbourne, FL 32904
Phone (321) 956-4000
169 Park Hill Blvd
West Melbourne, FL 32904
Phone (321) 956-4000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185235200000",
"number": "1790747822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 W NEW HAVEN AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329044056",
"telephone_number": "321-956-4000",
"fax_number": "321-726-0972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 W NEW HAVEN AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329044056",
"telephone_number": "321-956-4000",
"fax_number": "321-726-0972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKER HEALTHCARE PRODUCTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-04",
"last_updated": "2007-07-24",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "321-956-4000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "FL",
"license": "1452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "R9714",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.