DESTINY MEDICAL SUPPLY
NPI 1154557825
Durable Medical Equipment & Medical Supplies in Las Vegas, NV

Q: What is Destiny Medical Supply's NPI number?

The NPI number for Destiny Medical Supply is 1154557825. It was assigned to this organization in the NPPES registry on June 8, 2009.

Q: What is Destiny Medical Supply's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since June 08, 2009

3300 S JONES BLVD, SUITE 102, LAS VEGAS, NV 89146(702) 452-0808 Get Directions Write a Review

NPPES record last updated: June 8, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Destiny Medical Supply NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESTINY MEDICAL SUPPLY (NPI 1154557825) is a healthcare organization registered as a durable medical equipment & medical supplies in Las Vegas, Nevada and active in the NPI registry since June 2009. The organization lists Enobong Peter, Owner, as its authorized official.

NPPES Registry Identity

NPI1154557825

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameDESTINY MEDICAL SUPPLY

Location Address3300 S JONES BLVD, SUITE 102Las Vegas, NV 89146-6787

Mailing Address3300 S Jones Blvd, Suite 102Las Vegas, NV 89146-6787 · (702) 452-0808

Phone(702) 452-0808

Organization SubpartNo

Authorized OfficialEnobong PeterOwner · (702) 452-0808

Enumeration DateJune 8, 2009

✔ NPI 1154557825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

License✔ Licensed in NV · MP00590

Definition

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.

3300 S JONES BLVD, Las Vegas, NV 89146

Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENOBONG PETER

Durable Medical Equipment & Medical Supplies

3300 S JONES BLVD, SUITE 102
LAS VEGAS, NV 89146

Clark County (702) 452-0808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Destiny Medical Supply's NPI number?

The NPI number for Destiny Medical Supply is 1154557825. It was assigned to this organization in the NPPES registry on June 8, 2009.

Where is Destiny Medical Supply located?

Destiny Medical Supply is located at 3300 S Jones Blvd Suite 102, Las Vegas, NV 89146. The listed phone number is (702) 452-0808.

What is Destiny Medical Supply's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Destiny Medical Supply was last updated on June 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.