1814 Supply Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

1814 SUPPLY CORP.

Practice address

1814 Central Ave
Albany, NY 12205-4754

Phone

(518) 869-1289

Fax

(518) 869-1679

NPI assigned

Apr 12, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Sue Jacobs

Title

President

Phone

(518) 869-1289

Specialties & licenses 1

Addresses

Other names 1

• Garrett Medical Doing business as

Locations

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1366768665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054754",
            "telephone_number": "518-869-1289",
            "fax_number": "518-869-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054754",
            "telephone_number": "518-869-1289",
            "fax_number": "518-869-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1814 SUPPLY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-869-1289",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garrett Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Albany, NY
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.