Promedicalsupply LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

PROMEDICALSUPPLY LLC

Doing business as

ProMedicalSupplies

Practice address

1250 Bethlehem Pike Unit Q
Hatfield, PA 19440-1333

Phone

(330) 550-0553

NPI assigned

Jul 29, 2022

Last updated

Dec 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Girgis, RPHNPI 1477056117

Title

Owner

Phone

(330) 550-0553

Specialties & licenses 1

Addresses

Other names 1

• ProMedicalSupplies Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael A Girgis, RPH

  • Pharmacist
  • Sayre, PA
  • NPI 1477056117
  NPD Authorized official
• Mina Atef Girgis, RPH

  • Pharmacist
  • Riverton, NJ
  • NPI 1154046654
  NPD

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1255067385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 BETHLEHEM PIKE UNIT Q",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194401333",
            "telephone_number": "330-550-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 BETHLEHEM PIKE UNIT Q",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194401333",
            "telephone_number": "330-550-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICALSUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "GIRGIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-550-0553",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedicalSupplies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedicalSupplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy # 05762)
• Domenic Francis Pileggi, DC
• James Michael Pluda, M.D.
• Rachel Ann Polish, DO
• Premise Health of Pennsylvania Medical PC (Family Wellness Center)
• R-Health Primary Care Medical Home PA LLC
• Matthew T Raber, DC
• Christy-Lee Radishofski
• Mikayla Raggi, PT, DPT
• Dhara Kamleshkumar Raj, PHARMD

• Oxygen Equipment & Supplies (DME) in Hatfield, PA
• Providers in Hatfield, PA by specialty
• Oxygen Equipment & Supplies (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.