Organization Active NPI

Medical Supply Store #1

  • Durable Medical Equipment & Medical Supplies
  • Coral Springs, FL
National Provider Identifier
1851486674
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1313370 Issued in FL
Legal business name
MEDICAL SUPPLY STORE #1
Practice address
1831 N University Dr
Coral Springs, FL 33071-6001
Phone
(954) 933-9137
Fax
(954) 752-9447
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Mr. Ben Zion Kuncman
Title
Ceo
Phone
(954) 933-9137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1313370 FL Primary

Addresses

Primary practice location

1831 N University Dr
Coral Springs, FL 33071-6001

Mailing address

1831 N University Dr
Coral Springs, FL 33071-6001
Phone (954) 933-9137

Other identifiers 1

IdentifierTypeStateIssuer
R9710OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

1831 N University Dr
Coral Springs, FL 33071
Phone (954) 933-9137

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1851486674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716001",
            "telephone_number": "954-933-9137",
            "fax_number": "954-752-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716001",
            "telephone_number": "954-933-9137",
            "fax_number": "954-752-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPLY STORE #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "KUNCMAN",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "ZION",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-933-9137",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1313370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "R9710",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.