Active NPI
V&P Medical Supply LLC
- Durable Medical Equipment & Medical Supplies
- Brooklyn Park, MN
National Provider Identifier
1881098424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Oluwatosin Adejuwon
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150203002296 | MN | DME Supplier - Medical Supply Company | 7719202209 | Practice locations: Brooklyn Center, MN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Student in an Organized Health Care Education/Training Program
- Brooklyn Park, MN
- NPI 1821737156
-
- Specialist
- Brooklyn Park, MN
- NPI 1912321092
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.