Organization Active NPI

Village Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
National Provider Identifier
1801109707
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VILLAGE MEDICAL SUPPLIES, INC.
Practice address
751 Park of Commerce Dr
Suite 122
Boca Raton, FL 33487-3626
Phone
(561) 912-0099
Fax
(561) 912-0098
NPI assigned
Jul 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Mr. Timothy Cracchiolo
Title
President
Phone
(561) 912-0099

Specialties & licenses 1

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

Addresses

Primary practice location

751 Park of Commerce Dr
Suite 122
Boca Raton, FL 33487-3626

Mailing address

751 Park of Commerce Dr
Suite 122
Boca Raton, FL 33487-3626
Phone (561) 912-0099

National Provider Directory

National Provider Directory

Locations

751 Park of Commerce Dr
Ste 122
Boca Raton, FL 33487
Phone (561) 912-0099

3300 SW 15th St
Deerfield Beach, FL 33442
Phone (954) 354-0530

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1801109707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 PARK OF COMMERCE DR",
            "address_2": "SUITE 122",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873626",
            "telephone_number": "561-912-0099",
            "fax_number": "561-912-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 PARK OF COMMERCE DR",
            "address_2": "SUITE 122",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873626",
            "telephone_number": "561-912-0099",
            "fax_number": "561-912-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "CRACCHIOLO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-912-0099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.