P&D Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

P&D SUPPLY INC.

Practice address

6618 99TH St
Rego Park, NY 11374-4350

Phone

(718) 255-6604

Fax

(718) 255-6781

NPI assigned

Jul 12, 2018

Organization subpart

No

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

Authorized official

Name

Penay Yagudaev

Title

Owner

Phone

(718) 255-6604

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1043796006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 99TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744350",
            "telephone_number": "718-255-6604",
            "fax_number": "718-255-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6618 99TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744350",
            "telephone_number": "718-255-6604",
            "fax_number": "718-255-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&D SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "YAGUDAEV",
        "authorized_official_first_name": "PENAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-255-6604"
    },
    "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 Jul 12, 2018; 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.