MK DME Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MK DME SUPPLIES LLC

Practice address

1923 Welsh Rd
Philadelphia, PA 19115-4659

Phone

(267) 984-2711

NPI assigned

Jun 18, 2025

Organization subpart

No

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

Authorized official

Name

Moazzum Gill

Title

Owner/Ceo

Phone

(267) 984-2711

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1215824776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 WELSH RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154659",
            "telephone_number": "267-984-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 WELSH RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154659",
            "telephone_number": "267-984-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK DME SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "MOAZZUM",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "267-984-2711"
    },
    "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 Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.