OrganizationActive
Minimed Distribution Corp.
NPI 1124213855 · Durable Medical Equipment & Medical Supplies · Memphis, TN
Provider details
- NPI number
- 1124213855
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Medtronic Minimed
- Organization subpart
- Yes
- Authorized official
- Jessica Puathasnanon, Chief Counsel(804) 550-2017
- License
- 611 (TN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1800 Pyramid Pl
Memphis, TN 38132-1703
Phone: (800) 646-4633
Fax: (818) 739-4414
Street-level locationGet directions
Mailing address
18000 Devonshire St
Northridge, CA 91325-1219
Registry dates
- Enumerated
- 2007-09-06
- Last updated
- 2018-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.