Organization Active NPI

Prime Enterprise Alpha LLC

  • Durable Medical Equipment & Medical Supplies
  • Fresno, CA
National Provider Identifier
1174477160
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRIME ENTERPRISE ALPHA LLC
Practice address
3685 N Ivanhoe Ave
Fresno, CA 93722-3726
Phone
(813) 726-5830
Fax
(813) 726-5830
NPI assigned
Feb 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Vikas Sharma, MLT
Title
Director
Phone
(813) 726-5830

Specialties & licenses 1

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

Addresses

Primary practice location

3685 N Ivanhoe Ave
Fresno, CA 93722-3726

Mailing address

6 State Rd Ste 114
Mechanicsburg, PA 17050-7934
Phone (813) 726-5830

National Provider Directory

National Provider Directory

Locations

6 State Rd
Ste 114
Mechanicsburg, PA 17050
Phone (340) 825-6317

NPI Registry JSON

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1174477160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STATE RD STE 114",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170507934",
            "telephone_number": "813-726-5830",
            "fax_number": "813-726-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 N IVANHOE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223726",
            "telephone_number": "813-726-5830",
            "fax_number": "813-726-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME ENTERPRISE ALPHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "VIKAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-726-5830",
        "authorized_official_credential": "MLT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.