Medical Depot & Uniform Shop Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICAL DEPOT & UNIFORM SHOP INC

Practice address

189 State St
Bangor, ME 04401-5410

Phone

(207) 947-4777

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Daniel E Clifford

Title

President

Phone

(207) 947-4777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841349826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015410",
            "telephone_number": "207-947-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DEPOT & UNIFORM SHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-947-4777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larissa Araxe Mead-Wescott, PHD
• Kiana Marie Mead, LMSW-CC
• Andrew S Meagher, MD
• Maygan Meagher, RN
• Nelson E Meaker, PA-C
• Medlab792
• Daniela Medvid, RPH
• Yuriy Medvid, MD
• Megan Elizabeth Smith
• Harsh A. Mehta, MBBS

• Durable Medical Equipment & Medical Supplies in Bangor, ME
• Providers in Bangor, ME by specialty
• Durable Medical Equipment & Medical Supplies in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.