Organization Active NPI

Standard Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Broomall, PA
National Provider Identifier
1114998747
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
STANDARD MEDICAL SUPPLY, INC.
Practice address
1101 Sussex Blvd
Broomall, PA 19008-4012
Phone
(610) 328-9767
NPI assigned
Jan 31, 2006
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
Anthony J Sciole
Title
Chief Financial Officer
Phone
(610) 328-9767

Specialties & licenses 1

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

Addresses

Primary practice location

1101 Sussex Blvd
Broomall, PA 19008-4012

Mailing address

1101 Sussex Blvd
Broomall, PA 19008-4012
Phone (610) 328-9767

Other identifiers 1

IdentifierTypeStateIssuer
0017536420001MedicaidPA

National Provider Directory

National Provider Directory

Locations

1101 Sussex Blvd
Broomall, PA 19008
Phone (610) 328-9767

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114998747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SUSSEX BLVD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190084012",
            "telephone_number": "610-328-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SUSSEX BLVD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190084012",
            "telephone_number": "610-328-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDARD MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCIOLE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "610-328-9767"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017536420001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

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.