Sunrise Medical Supply Store

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

V12845 Issued in UT

Legal business name

SUNRISE MEDICAL SUPPLY STORE

Practice address

1411 W 9000 S
West Jordan, UT 84088-9217

Phone

(801) 563-5124

Fax

(801) 565-5866

NPI assigned

Aug 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Steve Yaymayan

Title

Owner

Phone

(801) 563-5124

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1003929282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889217",
            "telephone_number": "801-563-5124",
            "fax_number": "801-565-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889217",
            "telephone_number": "801-563-5124",
            "fax_number": "801-565-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL SUPPLY STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "YAYMAYAN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-563-5124",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "V12845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh Sullivan
• Summit Clinical Services of Utah LLC
• Summit View Health Center, LLC
• Kim Sundstrom, DNP, APRN, PMHNP-BC
• Sunrise Family Practice LLC
• Angela R Sutt, PHARMD
• Taylor S Suval, DC
• Dezmond Thorley Swain, PMHNP-BC
• Ava Swasey
• Clayton Thomas Swensen

• Durable Medical Equipment & Medical Supplies in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.