Organization Active NPI

Shenandoah Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fishersville, VA
National Provider Identifier
1366658452
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0002426676 Issued in VA
Legal business name
SHENANDOAH MEDICAL SUPPLY, INC.
Practice address
36 Lucas Rd
Fishersville, VA 22939-2335
Phone
(540) 337-0072
Fax
(540) 337-0076
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Edward Lee Toman
Title
Operations Manager
Phone
(540) 337-0072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0002426676 VA Primary

Addresses

Primary practice location

36 Lucas Rd
Fishersville, VA 22939-2335

Mailing address

PO Box 357
36 Lucas Rd
Fishersville, VA 22939-0357
Phone (540) 337-0072

Other names 1

  • SMS Other name

National Provider Directory

National Provider Directory

Locations

36 Lucas Rd
Fishersville, VA 22939
Phone (540) 337-0072

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366658452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "address_2": "36 LUCAS RD",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390357",
            "telephone_number": "540-337-0072",
            "fax_number": "540-337-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 LUCAS RD",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392335",
            "telephone_number": "540-337-0072",
            "fax_number": "540-337-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "540-337-0072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0002426676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fishersville, VA

Sources for this page

  • 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.