Medical Store

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

102786 Issued in CA

Legal business name

MEDICAL STORE

Practice address

333 E 17TH St
Suite 23
Costa Mesa, CA 92627-3220

Phone

(949) 722-1128

Fax

(949) 722-1315

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Arthur KreindelNPI 1053575811

Title

Owner

Phone

(949) 722-1128

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kenneth A Kreindel

  • Durable Medical Equipment & Medical Supplies
  • Costa Mesa, CA
  • NPI 1053575811
  NPD (past) Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1992876502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E 17TH ST",
            "address_2": "SUITE 23",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273220",
            "telephone_number": "949-722-1128",
            "fax_number": "949-722-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E 17TH ST",
            "address_2": "SUITE 23",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273220",
            "telephone_number": "949-722-1128",
            "fax_number": "949-722-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "KREINDEL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-722-1128",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.