MEDICAL DEPARTMENT STORE
NPI 1962676189
Durable Medical Equipment & Medical Supplies in Port Charlotte, FL
NPI Status: Active since April 18, 2008
Contact Information
4265 TAMIAMI TRL
UNIT E
PORT CHARLOTTE, FL
ZIP 33980
Phone: (941) 637-7330
Fax: (941) 637-6582
- Organization
- Durable Medical Equipment & Medical Supp...
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
About MEDICAL DEPARTMENT STORE
This page provides the complete NPI Profile along with additional information for Medical Department Store, a provider established in Port Charlotte, Florida operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1962676189 assigned on April 2008. The practitioner's primary taxonomy code is 332B00000X with license number 1313157 (FL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Medical Department Store. The authorized official of this NPI record is Mr. Kevin William Mccord (Managing Member)
- NPI
- 1962676189
- Provider Legal Name
- MDK VENTURES L.L.C
- Other Organization Name
- MEDICAL DEPARTMENT STORE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4265 TAMIAMI TRL UNIT E PORT CHARLOTTE, FL 33980
- Location Phone
- (941) 637-7330
- Location Fax
- (941) 637-6582
- Mailing Address
- 752 COMMERCE DR SUITE 5 VENICE, FL 34292
- Mailing Phone
- (941) 584-6154
- Mailing Fax
- (941) 637-6582
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-18-2008
- Last Update Date
- 08-17-2010
- Code Navigator
Medical Department Store is a medicare supplier with PTAN 20606069 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Automatic Ext Defibrillator (AEDS) and/or Supplies or Commodes, Urinals, Bedpans or Continuous Passive Motion (CPM) Devices or Contracture Treatment Devices: Dynamic Splint or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Gastric Suction Pumps or Heat & Cold Applications or Hospital Beds (Electric) or Hospital Beds (Manual) or Infrared Heating Pads Systems and/or Supplies or Neuromuscular Elect Stimulators (NMES)/Supplies or Pneumatic Compression Devices and/or Supplies or Speech Generating Devices or Support Surfaces: Pressure Reducing Beds/Mats/Pads or Traction Equipment or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Ultraviolet Light Devices and/or Supplies or Canes and/or Crutches or Patient Lifts or Power Operated Vehicles (Scooters) or Seat Lift Mechanisms or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Manual Related Accessories) or Wheelchairs (Standard Power) or Wheelchairs (Standard Power Related Accessories) or Wheelchairs (Complex Rehabilitative Manual) or Wheelchairs (Complex Rehab Manual Rel Accessories) or Wheelchairs (Complex Rehabilitative Power) or Wheelchairs (Complex Rehab Power Rel Accessories) or Wheelchair Seating/Cushions or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Penile Pumps or Breast Prostheses and/or Accessories or Neurostimulators and/or Supplies or Ostomy Supplies or Tracheotomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Continuous Positive Airway Pressure (CPAP) Devices or Intermittent Positive Pressure Breathing IPPB DEV or Mechanical In-Exsufflation Devices or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Respiratory Assist Devices or Respiratory Suction Pumps or Surgical Dressings or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License No.
- 1313157
- License State
- FL
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4423600003 | MEDICARE NSC (07) | FL | |
| 025612900 | MEDICAID (05) | FL |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20606069
- Accepts Medicare Assignment
- NO
- Specialities List
- Medical Supply Company Other, MSC With Respiratory Therapist.
- Provider Type List
- OXYGEN & EQUIPMENT.
- Competitive Bidding
- NO
Supplies List
- Automatic Ext Defibrillator (AEDS) and/or Supplies - Home defibrillators, Wearable defibrillators, Replacement batteries, Replacement electrodes
- Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
- Continuous Passive Motion (CPM) Devices - Knee CPM machines, Shoulder CPM machines, Hand & wrist CPM machines
- Contracture Treatment Devices: Dynamic Splint - Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
- Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
- Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
- Gastric Suction Pumps - Portable suction pumps, Stationary suction pumps, Canisters
- Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
- Hospital Beds (Electric) - Total electric hospital beds, Semi-electric hospital beds
- Hospital Beds (Manual) - Fixed height hospital beds, Variable height hospital beds
- Infrared Heating Pads Systems and/or Supplies - Infrared Heating Pad Systems, Replacement Pads
- Neuromuscular Elect Stimulators (NMES)/Supplies - Electrodes, lead wires, adhesive tape
- Pneumatic Compression Devices and/or Supplies - Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance
- Speech Generating Devices - Digitized speech devices, Synthesized speech devices
- Support Surfaces: Pressure Reducing Beds/Mats/Pads - Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
- Traction Equipment - Traction tables, Traction machines, Inversion tables
- (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
- Ultraviolet Light Devices and/or Supplies - Hand-held phototherapy devices, UV light therapy panels, Multidirectional light therapy
- Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
- Patient Lifts - Ceiling lifts, Slings
- Power Operated Vehicles (Scooters) - Scooters
- Seat Lift Mechanisms - Lift chair
- Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
- Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
- Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
- Wheelchairs (Standard Power) - Standard power wheelchairs, Heavy duty standard power wheelchairs
- Wheelchairs (Standard Power Related Accessories) - Accessories for standard power wheelchairs, heavy duty standard power wheelchairs
- Wheelchairs (Complex Rehabilitative Manual) - Complex rehabilitative manual wheelchairs
- Wheelchairs (Complex Rehab Manual Rel Accessories) - Complex rehabilitative manual wheelchairs
- Wheelchairs (Complex Rehabilitative Power) - Complex rehabilitative power wheelchairs
- Wheelchairs (Complex Rehab Power Rel Accessories) - Complex rehabilitative power wheelchairs
- Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Penile Pumps -
- Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
- Neurostimulators and/or Supplies - Rechargable neurostimulators, Non-rechargable neurostimulators
- Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
- Tracheotomy Supplies - Tracheostomy care kits
- Urological Supplies - Catheters, Urinary collection devices
- Enteral Nutrients - Enteral formula
- Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
- Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks
- Intermittent Positive Pressure Breathing IPPB DEV - Intermittent assist devices
- Mechanical In-Exsufflation Devices - Mechanical in-exsufflation devices are designed to slowly inflate the lungs with positive pressure during inspiration and simulate cough with rapidly applied negative pressure during expiration.
- Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
- Oxygen Equipment and/or Supplies - Portable oxygen systems, Oxygen concentrators, Oxygen contents
- Respiratory Assist Devices -
- Respiratory Suction Pumps - Portable suction pumps, Stationary suction pumps, Canisters
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
- Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1962676189, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
PORT CHARLOTTE, FL 33980
PORT CHARLOTTE, FL 33980
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962676189, enumerated as an "organization" on April 18, 2008.
The provider is located at 4265 TAMIAMI TRL UNIT E PORT CHARLOTTE, FL 33980 and the phone number is (941) 637-7330.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
