{"npi":"1164493003","type":"NPI-2","status":"active","name":{"display":"MD Medical Supplies INC","other":[],"organization_name":"MD MEDICAL SUPPLIES INC","authorised_official":"Don Edwards"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"7687 S 180TH ST","city":"KENT","state":"WA","postal_code":"980321048","country_code":"US","phone":"4255561490","fax":"4258675087"},{"purpose":"MAILING","street_1":"6813 S 220TH ST","city":"KENT","state":"WA","postal_code":"980321921","country_code":"US","phone":"4255561490","fax":"4258675087"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"9032533","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930014287","type_code":"30-54","type_desc":"DME SUPPLIER - MEDICAL SUPPLY COMPANY","state":"WA","pac_id":"9436277308"}]},"enumeration_date":"2006-01-30","last_updated":"2024-11-14","_meta":{"source":"NPPES","snapshot_date":"2024-11-14","doc_url":"https://findmynpi.com/api"}}