NPIMap

Organization Active NPI

Minimed Distribution Corp.

  • Durable Medical Equipment & Medical Supplies
  • Creve Coeur, MO
National Provider Identifier
1902062383
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MINIMED DISTRIBUTION CORP.
Practice address
12400 Olive Blvd
Creve Coeur, MO 63141-5454
Phone
(800) 933-3322
Fax
(818) 576-6228
NPI assigned
Aug 5, 2008
Organization subpart
Yes
Parent organization
MINIMED DISTRIBUTION CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Angela Ward Jones
Title
Senior Compliance Specialist
Phone
(804) 550-2017

Specialties & licenses 1

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

Addresses

Primary practice location

12400 Olive Blvd
Creve Coeur, MO 63141-5454

Mailing address

18000 Devonshire St
Attn: Angela Ward Jones
Northridge, CA 91325-1219
Phone (800) 933-3322

National Provider Directory

National Provider Directory
Tax ID family
Minimed Distribution Corp18 organizations share this tax ID, including this one
Part of
Minimed Distribution Corp

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1902062383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 DEVONSHIRE ST",
            "address_2": "ATTN: ANGELA WARD JONES",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251219",
            "telephone_number": "800-933-3322",
            "fax_number": "818-576-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415454",
            "telephone_number": "800-933-3322",
            "fax_number": "818-576-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMED DISTRIBUTION CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINIMED DISTRIBUTION CORP.",
        "enumeration_date": "2008-08-05",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "SENIOR COMPLIANCE SPECIALIST",
        "authorized_official_telephone_number": "804-550-2017"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.