Organization Active NPI

Alpha Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Vernon, CT
National Provider Identifier
1013912260
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ALPHA MEDICAL, INC.
Practice address
635 Talcottville Rd
Vernon, CT 06066-2319
Phone
(860) 875-2374
Fax
(860) 870-0735
NPI assigned
Jun 15, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Andrew Zayachkiwsky
Title
President
Phone
(860) 875-2374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

635 Talcottville Rd
Vernon, CT 06066-2319

Mailing address

PO Box 2529
Vernon, CT 06066-8629
Phone (860) 875-2374

National Provider Directory

National Provider Directory

Locations

635 Talcottville Rd
Vernon, CT 06066
Phone (860) 875-2374

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013912260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2529",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060668629",
            "telephone_number": "860-875-2374",
            "fax_number": "860-870-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 TALCOTTVILLE RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060662319",
            "telephone_number": "860-875-2374",
            "fax_number": "860-870-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAYACHKIWSKY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-875-2374",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.