Penguin Medical Supplies, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0088664 Issued in TX

Legal business name

PENGUIN MEDICAL SUPPLIES, INC

Practice address

6823 Green Oaks Rd
Suite D
Fort Worth, TX 76116-1732

Phone

(817) 737-3637

Fax

(817) 737-3639

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Kalpesh Patel, RPH

Title

Pharmacist Owner

Phone

(817) 737-3637

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1821056078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6823 GREEN OAKS RD",
            "address_2": "SUITE D",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761161732",
            "telephone_number": "817-737-3637",
            "fax_number": "817-737-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6823 GREEN OAKS RD",
            "address_2": "SUITE D",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761161732",
            "telephone_number": "817-737-3637",
            "fax_number": "817-737-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENGUIN MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KALPESH",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "817-737-3637",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0088664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821056078",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Jamal Pena, IDC
• Silvia Dayana Pena, RN
• John T Pender Jr., MD
• Marisa Pendery
• Monica Peng, MD
• Penn Interventional Pain Center, LLC
• Makayla Marie Penner, MD
• Michael William Penney, MD
• Taylor Penning
• Emily M Penninger, PNP

• Oxygen Equipment & Supplies (DME) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.