Phoenix Medical Supply Company

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

PHOENIX MEDICAL SUPPLY COMPANY

Practice address

3 N.Daisy Ave
# 1
Highlandsprings, VA 23075-1420

Phone

(804) 326-0411

NPI assigned

Jul 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Daphne I Jones

Title

Owner

Phone

(804) 326-0411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356374052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 N.DAISY AVE",
            "address_2": "# 1",
            "city": "HIGHLANDSPRINGS",
            "state": "VA",
            "postal_code": "230751420",
            "telephone_number": "804-326-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 N.DAISY AVE",
            "address_2": "# 1",
            "city": "HIGHLANDSPRINGS",
            "state": "VA",
            "postal_code": "230751420",
            "telephone_number": "804-326-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MEDICAL SUPPLY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-326-0411",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Highland Springs, VA
• Providers in Highland Springs, VA by specialty
• Customized Equipment (DME) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.