Organization Active NPI

Parker Healthcare Products, Inc.

  • Customized Equipment (DME)
  • Melbourne, FL
National Provider Identifier
1790747822
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
1452 Issued in FL
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
R9714OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.