Mama & Roos Supplement Co

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MAMA & ROOS SUPPLEMENT CO

Practice address

2555 S Queen St
York, PA 17402-4966

Phone

(717) 814-8538

NPI assigned

Oct 27, 2019

Organization subpart

No

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

Authorized official

Name

Alexandra M Puppelo, MA, AAHCC

Title

Founder

Phone

(717) 814-8538

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572134400000",
    "number": "1376186999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 CONCORD RD OFC # 22094",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174021104",
            "telephone_number": "717-814-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024966",
            "telephone_number": "717-814-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMA & ROOS SUPPLEMENT CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-27",
        "last_updated": "2019-10-27",
        "status": "A",
        "authorized_official_last_name": "PUPPELO",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "717-814-8538",
        "authorized_official_credential": "MA, AAHCC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Malec, RN
• Tani Malhotra, M.D
• Usha Malhotra, MD
• Adnan Saeed Malik, M.D.
• John William Malone III
• Caitlin Mary Ellyn Mammolenti, MD
• Tariro Manamike, PHARMD
• Mohammed H Manasawala, M.D.
• Manchester Township
• Karampal K. Mand, MD

• Durable Medical Equipment & Medical Supplies in York, PA
• Providers in York, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2019; 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.