Active NPI
Punxsy Medical Supply
- Durable Medical Equipment & Medical Supplies
- Ellwood City, PA
National Provider Identifier
1215011457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PUNXSY MEDICAL SUPPLY
- Practice address
- 208 5TH Street
Ellwood City, PA 16117-2306 - Phone
- (724) 752-7395
- NPI assigned
- Oct 24, 2006
- Last updated
- Oct 31, 2007
- Organization subpart
- Yes
- Parent organization
- PUNXSY MEDICAL SUPPLY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Rezk
- Title
- Owner
- Phone
- (814) 344-8994
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
208 5TH Street
Ellwood City, PA 16117-2306
Mailing address
208 5TH Street
Ellwood City, PA 16117-2306
Phone (724) 752-7395
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007774640018 | Medicaid | PA |
National Provider Directory
National Provider Directory- Part of
- Joseph Rezk
Locations
208 5th St
Ellwood City, PA 16117
Phone (724) 752-7395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193788800000",
"number": "1215011457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 5TH STREET",
"city": "ELLWOOD CITY",
"state": "PA",
"postal_code": "161172306",
"telephone_number": "724-752-7395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 5TH STREET",
"city": "ELLWOOD CITY",
"state": "PA",
"postal_code": "161172306",
"telephone_number": "724-752-7395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUNXSY MEDICAL SUPPLY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PUNXSY MEDICAL SUPPLY",
"enumeration_date": "2006-10-24",
"last_updated": "2007-10-31",
"status": "A",
"authorized_official_last_name": "REZK",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-344-8994"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007774640018",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellwood City, PA
- Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #05710)
- Pennsylvania Medical Transport, Inc. (Medevac Ambulance)
- Pittsburgh Medical Associates
- Erin Lindsey Polis, PHARMD
- Primary Health Network
- Elena Riccio Punzell, R.N.
- Q Pharma Inc (UPMC - Steel City Internal Medicine Ellwood)
- Rachel Rafaniello, PHARMD
- Lawrence F Rahall, D.O.
- Vijaya Rajasenan, RD,LDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.