Organization Active NPI

Gilgal Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Orlando, FL
National Provider Identifier
1245902014
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GILGAL MEDICAL SUPPLIES INC
Practice address
915 S Orange Ave
Orlando, FL 32806-1212
Phone
(407) 891-2120
NPI assigned
Sep 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Thomas Chacko
Title
VP
Phone
(407) 484-0032

Specialties & licenses 1

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

Addresses

Primary practice location

915 S Orange Ave
Orlando, FL 32806-1212

Mailing address

915 S Orange Ave
Orlando, FL 32806-1212
Phone (407) 891-2120

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Store Direct
CONNECT URL Store Direct

National Provider Directory

National Provider Directory
Tax ID family
Gilgal Medical Supplies Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1245902014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061212",
            "telephone_number": "407-891-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061212",
            "telephone_number": "407-891-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILGAL MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "407-484-0032"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Store",
            "affiliation": "N",
            "endpointDescription": "Store",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Store",
            "address_1": "915 S Orange Ave",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328061212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Store",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "915 S Orange Ave",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328061212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.