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 NPI 1346498417
Title
Owner
Phone
(585) 760-4512

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
US Medical Supply LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 23, 2020.

{
    "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

Verify at the official NPI Registry.