Active NPI
Aldrich Respiratory and Medical Supply Company
- Oxygen Equipment & Supplies (DME)
- Carbondale, PA
National Provider Identifier
1396043097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 3000008650
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018709910001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.