Northeast Medical Sales

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORTHEAST MEDICAL SALES

Practice address

67 Bridge St
Tunkhannock, PA 18657-1503

Phone

(570) 836-5881

Fax

(570) 836-3081

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Tammi L Dannecker

Title

Senior Partner

Phone

(570) 836-5881

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1023068616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BRIDGE ST",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186571503",
            "telephone_number": "570-836-5881",
            "fax_number": "570-836-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BRIDGE ST",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186571503",
            "telephone_number": "570-836-5881",
            "fax_number": "570-836-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST MEDICAL SALES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "DANNECKER",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "570-836-5881",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.