Triton Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRITON SUPPLY

Practice address

691 W 1725 N
Logan, UT 84321-6783

Phone

(435) 557-6687

NPI assigned

Feb 2, 2023

Organization subpart

No

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

Authorized official

Name

Gregory Chad Mangum

Title

Owner

Phone

(435) 557-6687

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1316643133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 S MAIN ST STE 210",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843215768",
            "telephone_number": "309-532-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 W 1725 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216783",
            "telephone_number": "435-557-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRITON SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "MANGUM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-557-6687"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Patricia Tovar Menjivar, CSW
• Lori S Trauntvein, FNP
• Travis S. Baldwin, DDS, PC
• Treehouse Acorn Pediatrics & Family Care
• Jill Ann Trice, LCSW
• Joann T. Tschanz, PH.D.
• Nathan Christopher Tubbs, LCSW
• Mark Tureson, PT ASSISTANT
• Lauren Pam Turner
• Michael Peter Twohig

• All providers in Logan, UT
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.