Medivo Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDIVO SUPPLIES INC

Practice address

20 Harkin LN
Hicksville, NY 11801-5722

Phone

(803) 258-7459

NPI assigned

Apr 15, 2026

Organization subpart

No

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

Authorized official

Name

Gilroy Brain Alva

Title

Owner

Phone

(803) 258-7459

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1154265684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HARKIN LN",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015722",
            "telephone_number": "803-258-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HARKIN LN",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015722",
            "telephone_number": "803-258-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIVO SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "ALVA",
        "authorized_official_first_name": "GILROY",
        "authorized_official_middle_name": "BRAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-258-7459"
    },
    "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 Hicksville, NY
• Providers in Hicksville, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.