Organization Active NPI

Royal Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Allentown, PA
National Provider Identifier
1073898292
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
3000007437 Issued in PA
Legal business name
ROYAL MEDICAL SUPPLY INC
Practice address
2125 28TH St SW
Allentown, PA 18103-7380
Phone
(610) 782-9101
NPI assigned
Oct 19, 2011
Last updated
Jul 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Roy Repko
Title
Owner
Phone
(610) 705-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3000007437 PA Primary

Addresses

Primary practice location

2125 28TH St SW
Allentown, PA 18103-7380

Mailing address

2125 28TH St SW
Allentown, PA 18103-7380
Phone (610) 705-9292

Other identifiers 1

IdentifierTypeStateIssuer
0019576510002MedicaidPA

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1073898292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 28TH ST SW",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037380",
            "telephone_number": "610-705-9292",
            "fax_number": "610-705-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 28TH ST SW",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037380",
            "telephone_number": "610-782-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "REPKO",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-705-9292"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "3000007437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019576510002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.