Organization Active NPI

Aldrich Respiratory and Medical Supply Company

  • Oxygen Equipment & Supplies (DME)
  • Carbondale, PA
National Provider Identifier
1396043097
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
3000008650 Issued in PA
Legal business name
ALDRICH RESPIRATORY AND MEDICAL SUPPLY COMPANY
Practice address
5 John St
Carbondale, PA 18407-1891
Phone
(570) 282-1402
Fax
(570) 283-3377
NPI assigned
Mar 3, 2011
Last updated
Oct 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Mr. George F Aldrich III
Title
President
Phone
(570) 654-4551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 3000008650 PA Primary

Addresses

Primary practice location

5 John St
Carbondale, PA 18407-1891

Mailing address

5 John St
Carbondale, PA 18407-1891
Phone (570) 282-1402

Other identifiers 1

IdentifierTypeStateIssuer
1018709910001MedicaidPA

National Provider Directory

National Provider Directory

Locations

5 John St
Carbondale, PA 18407
Phone (570) 282-1402

200 Overlook Dr
Ste 303
Pittston, PA 18640
Phone (570) 654-4551

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1396043097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 JOHN ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071891",
            "telephone_number": "570-282-1402",
            "fax_number": "570-283-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 JOHN ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071891",
            "telephone_number": "570-282-1402",
            "fax_number": "570-283-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDRICH RESPIRATORY AND MEDICAL SUPPLY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "ALDRICH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-654-4551",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PA",
            "license": "3000008650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018709910001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.