Medical Store of Palm Beach County

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1030 Issued in FL

Legal business name

MEDICAL STORE OF PALM BEACH COUNTY

Practice address

300 Northpoint Pkwy
Suite 301
West Palm Beach, FL 33407-1979

Phone

(561) 242-6200

Fax

(561) 242-6240

NPI assigned

Jul 30, 2006

Last updated

Jan 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David C. Fielding

Title

President and Ceo

Phone

(561) 848-5200

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1932114667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 EAST AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072387",
            "telephone_number": "561-848-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NORTHPOINT PKWY",
            "address_2": "SUITE 301",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334071979",
            "telephone_number": "561-242-6200",
            "fax_number": "561-242-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL STORE OF PALM BEACH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "FIELDING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "561-848-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1030",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "1030",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030998200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Coral Way Center Corp
• Medical Rehab Pro LLC
• Medical Supplies Company
• Medical Transport Specialists, Inc. (Caliber Patient Transport)
• Medihub SFL Plus
• Paloma Teresa Medina Bring
• Yinet Medina Ojeda

• Durable Medical Equipment & Medical Supplies in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.