Express Medical & Nutrition Supply Inc.

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

3980120428317 Issued in FL

Legal business name

EXPRESS MEDICAL & NUTRITION SUPPLY INC.

Practice address

6201 Johns Rd
Suite 4
Tampa, FL 33634-4434

Phone

(813) 885-3444

Fax

(813) 885-1729

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jack Pickens

Title

Owner

Phone

(813) 885-3444

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1891722898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 JOHNS RD",
            "address_2": "SUITE 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33534",
            "telephone_number": "813-885-3444",
            "fax_number": "813-885-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 JOHNS RD",
            "address_2": "SUITE 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344434",
            "telephone_number": "813-885-3444",
            "fax_number": "813-885-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MEDICAL & NUTRITION SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PICKENS",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-885-3444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "3980120428317",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "FL",
            "license": "3980120428317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Parenteral & Enteral Nutrition Supplies (DME) in Tampa, FL
• Providers in Tampa, FL by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.