Active NPI
City Medical Supply Inc.
- Durable Medical Equipment & Medical Supplies
- Mableton, GA
National Provider Identifier
1275697872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CITY MEDICAL SUPPLY INC.
- Practice address
- 5701 Mableton Pkwy SE
3D
Mableton, GA 30126-3395 - Phone
- (770) 819-1440
- NPI assigned
- Dec 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edward Imarhia
- Title
- Administrator
- Phone
- (770) 819-1440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
5701 Mableton Pkwy SE
3D
Mableton, GA 30126-3395
Mailing address
PO Box 1549
Mableton, GA 30126-1009
Phone (770) 819-1440
National Provider Directory
National Provider DirectoryLocations
5701 Mableton Pkwy SW
#3D
Mableton, GA 30126
Phone (770) 819-1440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275697872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1549",
"city": "MABLETON",
"state": "GA",
"postal_code": "301261009",
"telephone_number": "770-819-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 MABLETON PKWY SE",
"address_2": "3D",
"city": "MABLETON",
"state": "GA",
"postal_code": "301263395",
"telephone_number": "770-819-1440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY MEDICAL SUPPLY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "IMARHIA",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "770-819-1440",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mableton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.