Prime Medical Supplies Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25600 Issued in FL

Legal business name

PRIME MEDICAL SUPPLIES INC

Practice address

600 N Congress Ave Ste 130
Delray Beach, FL 33445-3433

Phone

(561) 588-0707

Fax

(561) 588-0747

NPI assigned

Jul 14, 2011

Organization subpart

No

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

Authorized official

Name

Louis Sitaras

Title

Owner

Phone

(561) 588-0707

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frances Nyaniba Bernasko

  • Psychiatric/Mental Health Nurse Practitioner
  • Palm Beach Gardens, FL
  • NPI 1386242329
  NPD (past)

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1295023059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N CONGRESS AVE STE 130",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453433",
            "telephone_number": "561-588-0707",
            "fax_number": "561-588-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N CONGRESS AVE STE 130",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453433",
            "telephone_number": "561-588-0707",
            "fax_number": "561-588-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2022-06-06",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "SITARAS",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-588-0707"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004149501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Medical Center of Florida Inc
• Primary MD Care
• Prime Care Physicians
• Prime Orthopedics & Regenerative Center LLC
• Primrose Pharmacy LLC
• Christopher Kyle Privette, MD
• Pro Motion Rehabilitation LLC
• Proactive Recovery Center, LLC

• Community/Retail Pharmacy in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.