Organization Active NPI

Vanilla Skye Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Winter Park, FL
National Provider Identifier
1801586367
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VANILLA SKYE MEDICAL SUPPLY LLC
Practice address
7523 Aloma Ave Ste 112
Winter Park, FL 32792-9158
Phone
(972) 827-6161
NPI assigned
May 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Anila KhanNPI 1780392720
Title
Owner/Manager
Phone
(972) 827-6161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7523 Aloma Ave Ste 112
Winter Park, FL 32792-9158

Mailing address

7523 Aloma Ave Ste 112
Winter Park, FL 32792-9158
Phone (972) 827-6161

National Provider Directory

National Provider Directory

Locations

7523 Aloma Ave
Ste 112
Winter Park, FL 32792
Phone (972) 827-6161

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1801586367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7523 ALOMA AVE STE 112",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929158",
            "telephone_number": "972-827-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7523 ALOMA AVE STE 112",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929158",
            "telephone_number": "972-827-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANILLA SKYE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ANILA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "972-827-6161"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.