Healthcare Provider Details

I. General information

NPI: 1366566853
Provider Name (Legal Business Name): MEDICAL DEPOT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 ODLIN RD
HERMON ME
04401-7237
US

IV. Provider business mailing address

60 NORTHPOINTE PKWY
AMHERST NY
14228-1883
US

V. Phone/Fax

Practice location:
  • Phone: 207-942-4555
  • Fax: 207-942-4575
Mailing address:
  • Phone: 716-568-2236
  • Fax: 716-568-2243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberNA
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberNA
License Number StateME

VIII. Authorized Official

Name: MR. DAVID M VERITY
Title or Position: PRESIDENT
Credential:
Phone: 716-568-2236