Ample Medical Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

60-8015702601-8 Issued in FL

Legal business name

AMPLE MEDICAL SUPPLIES, LLC

Practice address

630 S Sapodilla Avenue
Suite 318
West Palm Beach, FL 33401-4178

Phone

(979) 216-6132

NPI assigned

Aug 17, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Gilliam Elliott Jr.

Title

Owner

Phone

(979) 216-6132

Specialties & licenses 1

Addresses

Other names 1

• AMS Other name

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1831479237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S SAPODILLA AVE",
            "address_2": "SUITE 318",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334014178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S SAPODILLA AVENUE",
            "address_2": "SUITE 318",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334014178",
            "telephone_number": "979-216-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPLE MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "GILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-216-6132",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "60-8015702601-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.