Pegasus Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PEGASUS MEDICAL SUPPLY INC

Practice address

1103 Cypress Creek Rd
Ste 103
Cedar Park, TX 78613-3924

Phone

(512) 918-0044

Fax

(512) 918-0045

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Michael Charles Gayle, PT

Title

Owner

Phone

(512) 918-0044

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144258740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 CYPRESS CREEK RD",
            "address_2": "STE 103",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133924",
            "telephone_number": "512-918-0044",
            "fax_number": "512-918-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CYPRESS CREEK RD",
            "address_2": "STE 103",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133924",
            "telephone_number": "512-918-0044",
            "fax_number": "512-918-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-918-0044",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sothda Kim Penn, PHARMD
• Chloe Ilan Penny

• Durable Medical Equipment & Medical Supplies in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• 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.