Vip Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VIP MEDICAL SUPPLY LLC

Practice address

3334 N Front St
Philadelphia, PA 19140-5808

Phone

(215) 631-3049

Fax

(215) 874-0506

NPI assigned

Jun 17, 2024

Organization subpart

No

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

Authorized official

Name

Arlenia Paulino

Title

Owner

Phone

(215) 631-3049

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1306689476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405808",
            "telephone_number": "215-631-3049",
            "fax_number": "215-874-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405808",
            "telephone_number": "215-631-3049",
            "fax_number": "215-874-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "PAULINO",
        "authorized_official_first_name": "ARLENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-631-3049"
    },
    "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 Aug 7, 2024; 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.