US Medical Supply LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Macecdon, NY
NPI 1326327040 · NPPES record last updated Apr 23, 2020
Key facts
- NPI
- 1326327040
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 008930-1 (NY)
- Legal business name
- US MEDICAL SUPPLY LLC
- Practice address
- 621 Smugglers Cove
Macecdon, NY 14502 - Phone
- (585) 760-4512
- Fax
- (585) 544-3884
- NPI assigned
- Aug 11, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert Ward III
- Title
- Owner
- Phone
- (585) 760-4512
Corporate family (same tax ID) 1
Practitioners 1
-
Robert Eugene Ward III, D.C.
National Provider Directory
- Tax ID family
- US Medical Supply LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 008930-1 | NY | Yes |
Addresses
Primary practice location
621 Smugglers Cove
Macecdon, NY 14502
Mailing address
PO Box 376
Penfield, NY 14526-0376
Phone (585) 760-4512
NPI Registry JSON
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587600000000",
"number": "1326327040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 376",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145260376",
"telephone_number": "585-760-4512",
"fax_number": "315-538-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 SMUGGLERS COVE",
"city": "MACECDON",
"state": "NY",
"postal_code": "14502",
"telephone_number": "585-760-4512",
"fax_number": "585-544-3884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "US MEDICAL SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-11",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "585-760-4512",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "008930-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.