KIMCO MEDICAL SUPPLY INC
NPI 1982631933
Durable Medical Equipment & Medical Supplies in San Bernardino, CA

Active since June 26, 2006
577 N D ST, SUITE 113, SAN BERNARDINO, CA 92401(909) 381-1948(909) 381-1959 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimco Medical Supply Inc NPPES

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

KIMCO MEDICAL SUPPLY INC (NPI 1982631933) is a healthcare organization registered as a durable medical equipment & medical supplies in San Bernardino, California and active in the NPI registry since June 2006. The organization lists Dekunle R Shittu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1982631933
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameKIMCO MEDICAL SUPPLY INC
Location Address577 N D ST, SUITE 113San Bernardino, CA 92401-1324
Mailing Address577 N D St, Suite 113San Bernardino, CA 92401-1324 · (909) 381-1948 · Fax (909) 381-1959
Fax(909) 381-1959
Organization SubpartNo
Authorized OfficialDekunle R ShittuCeo · (909) 381-1948
Enumeration DateJune 26, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1982631933 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 CA · 5471060001
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.
577 N D ST, San Bernardino, CA 92401

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
577 N D ST, SUITE # 101
SAN BERNARDINO, CA 92401
Respite Care
577 N D ST, SUITE 102
SAN BERNARDINO, CA 92401
Respite Care
577 N D ST, STE 102
SAN BERNARDINO, CA 92401
Hospice Care, Community Based
577 N D ST, SUITE 102
SAN BERNARDINO, CA 92401
Durable Medical Equipment & Medical Supplies
577 N D ST, SUITE 106
SAN BERNARDINO, CA 92401
Hospice Care, Community Based
577 N D ST, STE 107A
SAN BERNARDINO, CA 92401
Social Worker (Clinical)
577 N D ST, STE 100
SAN BERNARDINO, CA 92401
Home Health
577 N D ST, 111E
SAN BERNARDINO, CA 92401

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 Kimco Medical Supply Inc's NPI number?

The NPI number for Kimco Medical Supply Inc is 1982631933. It was assigned to this organization in the NPPES registry on June 26, 2006.

Where is Kimco Medical Supply Inc located?

Kimco Medical Supply Inc is located at 577 N D St Suite 113, San Bernardino, CA 92401. The listed phone number is (909) 381-1948.

What is Kimco Medical Supply Inc'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 Kimco Medical Supply Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.