5 Star Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

5 STAR MEDICAL SUPPLY, INC

Practice address

465 Pike Rd
Unit 113
Huntingdon Valley, PA 19006-1620

Phone

(215) 396-2233

Fax

(215) 396-8325

NPI assigned

Sep 14, 2005

Last updated

Sep 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Fernando Flores Rodriguez

Title

President

Phone

(215) 396-2233

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1114912334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 PIKE RD",
            "address_2": "UNIT 113",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061620",
            "telephone_number": "215-396-2233",
            "fax_number": "215-396-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 PIKE RD",
            "address_2": "UNIT 113",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061620",
            "telephone_number": "215-396-2233",
            "fax_number": "215-396-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 STAR MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "FLORES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-396-2233",
        "authorized_official_name_prefix": "Mr."
    },
    "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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• Durable Medical Equipment & Medical Supplies in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.