PENGUIN MEDICAL SUPPLIES, INC (NPI# 1821056078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821056078 |
| Entity Type | Organization |
| Organization Name | PENGUIN MEDICAL SUPPLIES, INC |
| Practice Address |
6823 Green Oaks Rd Suite D Fort Worth TX 76116-1732 |
| Practice Telephone | 8177373637 |
| Practice Fax Number | 8177373639 |
| Mailing Telephone | 8177373637 |
| Mailing Fax Number | 8177373639 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2009-07-29 |
| Authorized Official Name | KALPESH PATEL (PHARMACIST OWNER) |
| Authorized Official Telephone | 8177373637 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
0088664 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NPI | 1821056078 | 01 |
| Street Address |
6823 GREEN OAKS RD SUITE D |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76116-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710929104 | Mitchell Wayne Daggett | Optometrist | 6823 Green Oaks Rd, Ste B, Fort Worth, TX 76116-1732 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908980 | William Michael Marshall | Pharmacist | 8600 Camp Bowie Blvd, Forth Worth, TX 76116 | 2020-10-02 |
| 1558843599 | Donnisha Bunting | In Home Supportive Care | 2901 Broadmoor, 1115, Fort Worth, TX 76116 | 2018-09-06 |
| 1588156756 | Bilal Master | Student in an Organized Health Care Education/Training Program | 3309 Riveroad Court, 2515, Ft Worth, TX 76116 | 2018-06-04 |
| 1245769728 | Randall R Williams | Physical Therapist | 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 | 2017-06-08 |
| 1023543048 | 5th Avenue Grooming Lounge | Prosthetic/Orthotic Supplier | 1201 N Watson Rd., Suite 283, Arlington, TX 76116 | 2017-04-27 |
| 1831647734 | Frisco Neuro Collaborations, Pllc | Physician Assistant | 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 | 2016-09-20 |
| 1104288372 | Brown Mobile Dental Pa | Dentist | 8008 Camp Bowie W Blvd, Ste 101, Fort Worth, TX 76116 | 2016-03-25 |
| 1639553431 | Bartholomew A Akubukwe | Pharmacist | 6700 Westfree Way, Fortworth, TX 76116 | 2015-07-13 |
| 1952718868 | Brown Mobile Dental | Dentist | 8008 Camp Bowie Suite 101, Fort Worth, TX 76116 | 2014-07-14 |
| 1275949018 | Emily Sue Danner | Dentist | 6726 Camp Bowie Blvd., Fort Worth, TX 76116 | 2014-07-01 |
| Find all providers in zip 76116 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831711969 | Brightstar Medical Supply | Durable Medical Equipment & Medical Supplies | 1006 N Sylvania Ave, Fort Worth, TX 76111-2516 | 2020-05-12 |
| 1609029800 | Ernies House | Durable Medical Equipment & Medical Supplies | 4321 Martha Ln, Fort Worth, TX 76103-2705 | 2008-10-31 |
| 1649490327 | National Hme | Durable Medical Equipment & Medical Supplies | 2920 Morton St, Fort Worth, TX 76107-2926 | 2007-04-26 |
| 1972692838 | Clearview Medical Incorporated | Durable Medical Equipment & Medical Supplies | 2503 Gravel Dr, Fort Worth, TX 76118 | 2006-10-11 |
| 1144230178 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 8910 Oak Grove Rd, Fort Worth, TX 76140-5124 | 2006-08-09 |
| 1649204694 | Medall, Inc. | Durable Medical Equipment & Medical Supplies | 221 W Exchange Ave, Suite 303, Fort Worth, TX 76164-9614 | 2006-07-10 |
| 1962438481 | Jhamb Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 707 North Fwy, Suite 119, Fort Worth, TX 76102-1702 | 2006-06-25 |
| 1053357699 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 2420 Gravel Dr, Bldg. 25, Fort Worth, TX 76118-6938 | 2006-06-21 |
| 1720020985 | Hughes Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 5016 Jacksboro Hwy, Fort Worth, TX 76114-1930 | 2006-06-12 |
| 1902867302 | Accurate Medical Equipment and Supply Co. | Durable Medical Equipment & Medical Supplies | 1214 S Main St, Fort Worth, TX 76104-4803 | 2006-03-28 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76116 |
Please comment or provide details below to improve the information on PENGUIN MEDICAL SUPPLIES, INC.
| 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.