Organization Active NPI

V&P Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn Park, MN
National Provider Identifier
1881098424
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
V&P MEDICAL SUPPLY LLC
Practice address
3700 74TH Ave N # 104
Brooklyn Park, MN 55443-3516
Phone
(763) 205-9965
Fax
(763) 710-9178
NPI assigned
Oct 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Oluwatosin AdejuwonNPI 1821737156
Title
Ceo
Phone
(763) 205-9965

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

3700 74TH Ave N # 104
Brooklyn Park, MN 55443-3516

Mailing address

3700 74TH Ave N # 104
Brooklyn Park, MN 55443-3516
Phone (763) 205-9965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150203002296 MN DME Supplier - Medical Supply Company 7719202209 Practice locations: Brooklyn Center, MN

National Provider Directory

National Provider Directory

Locations

3700 74th Ave N
Minneapolis, MN 55443
Phone (763) 205-9965

5901 Brooklyn Blvd
Ste 112
Minneapolis, MN 55429
Phone (763) 205-9965

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1881098424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 74TH AVE N # 104",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433516",
            "telephone_number": "763-205-9965",
            "fax_number": "763-710-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 74TH AVE N # 104",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433516",
            "telephone_number": "763-205-9965",
            "fax_number": "763-710-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V&P MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "ADEJUWON",
        "authorized_official_first_name": "OLUWATOSIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-205-9965"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.