Organization Active NPI

Fivestar Medical Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Fruitland Park, FL
National Provider Identifier
1841846623
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FIVESTAR MEDICAL SUPPLIES, LLC
Practice address
2468 US Highway 441/27 Ste 201
Fruitland Park, FL 34731-2149
Phone
(352) 901-7427
NPI assigned
Aug 16, 2019
Last updated
Aug 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Authorized official

Name
Claudette Clervil CheristinNPI 1306411574
Title
Ceo
Phone
(352) 901-7427

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

2468 US Highway 441/27 Ste 201
Fruitland Park, FL 34731-2149

Mailing address

2468 US Highway 441/27 Ste 201
Fruitland Park, FL 34731-2149
Phone (352) 901-7427

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1841846623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2468 US HIGHWAY 441/27 STE 201",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347312149",
            "telephone_number": "352-901-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2468 US HIGHWAY 441/27 STE 201",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347312149",
            "telephone_number": "352-901-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVESTAR MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "CHERISTIN",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_middle_name": "CLERVIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-901-7427"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruitland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.