MEDICAL DEPARTMENT STORE
NPI 1962676189
Durable Medical Equipment & Medical Supplies in Port Charlotte, FL

Active since April 18, 2008
4265 TAMIAMI TRL, UNIT E, PORT CHARLOTTE, FL 33980(941) 637-7330(941) 637-6582 Get Directions Write a Review

NPPES record last updated: August 17, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medical Department Store NPPES

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

MEDICAL DEPARTMENT STORE (NPI 1962676189) is a healthcare organization registered as a durable medical equipment & medical supplies in Port Charlotte, Florida and active in the NPI registry since April 2008. The organization lists Kevin William Mccord, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1962676189
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMDK VENTURES L.L.C
Location Address4265 TAMIAMI TRL, UNIT EPort Charlotte, FL 33980-2152
Mailing Address752 Commerce Dr, Suite 5Venice, FL 34292-1744 · (941) 584-6154 · Fax (877) 497-1030
Fax(941) 637-6582
Organization SubpartNo
Authorized OfficialKevin William MccordManaging Member · (941) 232-8585
Enumeration DateApril 18, 2008
Last NPPES UpdateAugust 17, 2010
NPI 1962676189 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 FL · 1313157
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.
4265 TAMIAMI TRL, Port Charlotte, FL 33980

Other Names 1

Doing Business AsMedical Department Store

Other Identifiers 2

Medicare NSC4423600003FL
Medicaid025612900FL

Medical Equipment Supplier Medicare DMEPOS 53

Medicare supplier enrollment and the product categories Medical Department Store carries, from the Medicare DMEPOS supplier directory.

Medical Department Store

DMEPOS supplier · Port Charlotte, FLOperated by Mdk Ventures LLC

Does not accept Medicare assignment

Medical Department Store has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20606069
Medicare Participant SinceMarch 14, 2002
Supplier Location4265 Tamiami Trl EPort Charlotte, FL 33980
Provider TypeOxygen & Equipment
Supplier Specialties
Medical Supply Company Other MSC With Respiratory Therapist

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 8

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

Pharmacist
4265 TAMIAMI TRL
PORT CHARLOTTE, FL 33980
Pharmacist
4265 TAMIAMI TRL
PORT CHARLOTTE, FL 33980
Family Medicine
4265 TAMIAMI TRL
PORT CHARLOTTE, FL 33980
Pharmacist
4265 TAMIAMI TRL
PORT CHARLOTTE, FL 33980
Pharmacist
4265 TAMIAMI TRL
PORT CHARLOTTE, FL 33980
Technician/Technologist (Optician)
4265 TAMIAMI TRL, SUITE G
PORT CHARLOTTE, FL 33980
Pharmacy (Community/Retail Pharmacy)
4265 TAMIAMI TRL
PORT CHARLOTTE, FL 33980
Pharmacist
4265 TAMIAMI TRL
PORT CHARLOTTE, FL 33980

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 Mdk Ventures L.L.C's NPI number?

The NPI number for Mdk Ventures L.L.C is 1962676189. It was assigned to this organization in the NPPES registry on April 18, 2008. The provider is doing business as Medical Department Store.

Where is Mdk Ventures L.L.C located?

Mdk Ventures L.L.C is located at 4265 Tamiami Trl Unit E, Port Charlotte, FL 33980. The listed phone number is (941) 637-7330.

What is Mdk Ventures L.L.C's specialty?

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

Does Mdk Ventures L.L.C accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Medical Department Store does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Mdk Ventures L.L.C was last updated on August 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.