MINIMED DISTRIBUTION CORP. (NPI# 1124213855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124213855 |
| Entity Type | Organization |
| Organization Name | MINIMED DISTRIBUTION CORP. |
| Practice Address |
1800 Pyramid Pl Memphis TN 38132-1703 |
| Mailing Address |
18000 Devonshire St Attn: Angela Ward - Legal Dept Northridge CA 91325-1219 |
| Practice Telephone | 8006464633 |
| Practice Fax Number | 8187394414 |
| Mailing Telephone | 8009333322 |
| Mailing Fax Number | 8185766228 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2018-01-09 |
| Authorized Official Name | JESSICA PUATHASNANON (CHIEF COUNSEL) |
| Authorized Official Telephone | 8045502017 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDTRONIC MINIMED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 611 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 137682716 | 05 | |
| TN | 1454129 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831418672 | Minimed Distribution Corp. | Pharmacy | 18302 Talavera Rdg, San Antonio, TX 78257-2605 | 2010-05-19 |
| 1396984977 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 5665 Sw Meadows Rd, Suite 100, Lake Oswego, OR 97035-3159 | 2009-02-05 |
| 1265688386 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 10801 Mastin St, Ste 340, Overland Park, KS 66210-1669 | 2008-08-08 |
| 1386890408 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 9850 Nw 41st St Ste 450, Attn: Paulina Miranda, Doral, FL 33178-2993 | 2008-08-08 |
| 1659537983 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 1584 S 500 W, Ste 102, Woods Cross, UT 84010-7436 | 2008-08-06 |
| 1558527895 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 11811 Willows Rd Ne, Redmond, WA 98052-2003 | 2008-08-06 |
| 1700042033 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 300 Interpace Pkwy Bldg A, Ste 340, Parsippany, NJ 07054-1100 | 2008-08-06 |
| 1598921975 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 1501 42nd St, Ste 350, West Des Moines, IA 50266-1005 | 2008-08-05 |
| 1487810867 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 3725 25th Ave, Schiller Park, IL 60176-2147 | 2008-08-05 |
| 1356334577 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 18000 Devonshire St, Attn: Legal Dept., Northridge, CA 91325-1219 | 2005-08-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MiniMed Distribution Corp. | 18000 Devonshire Street, Northridge, CA 91325 |
| Oregon Corporations, Companies and Business Names | MINIMED DISTRIBUTION CORP. | 18000 Devonshire St, Northridge, CA 91325 |
| Washington State Corporations | MINIMED DISTRIBUTION CORP. | 18000 Devonshire St, Northridge, CA 91325 |
| Iowa Business Entities | MINIMED DISTRIBUTION CORP. | 18000 Devonshire St, Northridge, CA 91325 |
| Connecticut Business Registrations | MINIMED DISTRIBUTION CORP. | 18000 Devonshire Street, Northridge, CA 91325 |
| Indiana Business Entities | MINIMED DISTRIBUTION CORPORATION | 18000 Devonshire St, Attn: Angela Ward, Northridge, CA 91325 |
| Street Address |
1800 PYRAMID PL |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38132-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629235213 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 1800 Pyramid Pl, Memphis, TN 38132-1703 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386163707 | Casey Provo | Dietitian, Registered | 1689 Nonconnah Blvd., Memphis, TN 38132 | 2017-09-18 |
| 1164802195 | Cynthia Luaune Poole | Social Worker | 2606 Corporate Dr, Memphis, TN 38132 | 2015-06-04 |
| 1033375753 | Concentra Health Services, Inc. | Clinic/Center | 2831 Airways Blvd., Bldg. A, Suite 102, Memphis, TN 38132 | 2008-08-01 |
| 1063406676 | The Synergy Foundation, Inc. | Substance Abuse Rehabilitation Facility | 2305 Airport Interchange Avenue, Memphis, TN 38132 | 2005-09-09 |
| 1932488129 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 2831 Airways Blvd, Bldg A, Ste 102, Memphis, TN 38132 | 2011-08-05 |
| 1699181461 | Stacy Triplett | Counselor | 2305 Airport Interchange Ave, Memphis, TN 38132-1002 | 2014-07-01 |
| 1174852164 | Delois Roberson | Dentist | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2009-12-22 |
| 1801380985 | Javier Jackson | Physical Therapist | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2018-06-21 |
| 1326499252 | Joshua Mock | Physical Therapy Assistant | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2016-06-22 |
| 1295112720 | Michelle Frulla | Physical Therapy Assistant | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2015-05-05 |
| Find all providers in zip 38132 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075838 | Yolanda S Draine | Durable Medical Equipment & Medical Supplies | 420 Monroe Ave # 1413, Memphis, TN 38103-3252 | 2020-05-20 |
| 1316566490 | Anointed Crown | Durable Medical Equipment & Medical Supplies | 2696 Central Ter, Memphis, TN 38111-1614 | 2020-04-09 |
| 1366007593 | Newsome and Associates, Inc | Durable Medical Equipment & Medical Supplies | 3181 Poplar Ave Ste 215, Memphis, TN 38111-3524 | 2019-05-02 |
| 1154820397 | Advanced Orthopedic Alliance | Durable Medical Equipment & Medical Supplies | 415 S Front St, Memphis, TN 38103-6404 | 2018-02-02 |
| 1932617750 | Patterson and Associates | Durable Medical Equipment & Medical Supplies | 3181 Poplar Ave Ste 214, Memphis, TN 38111-3524 | 2018-01-15 |
| 1114442266 | Crowdconomy, LLC | Durable Medical Equipment & Medical Supplies | 7124 Crestridge Rd, Memphis, TN 38119-8706 | 2017-08-10 |
| 1659893915 | Maymacs, Inc | Durable Medical Equipment & Medical Supplies | 6005 Park Ave Ste 704, Memphis, TN 38119-5217 | 2017-07-08 |
| 1720509185 | All About Homecare, LLC | Durable Medical Equipment & Medical Supplies | 1320 Jackson Ave, Memphis, TN 38107-4351 | 2017-07-06 |
| 1598285264 | Alliance Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 1266 Sycamore View Rd Ste 101, Memphis, TN 38134-7664 | 2017-06-23 |
| 1316496250 | Jimmy Clyce Weatherly Jr. | Durable Medical Equipment & Medical Supplies | 3840 Viscount Ave, Suite 14, Memphis, TN 38118-6023 | 2016-10-03 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.