Pharaohs Trading L.L.C.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PHARAOHS TRADING L.L.C.

Doing business as

Dental and Medical Supplies

Practice address

743 S Nova Rd
Ormond Beach, FL 32174-7332

Phone

(386) 366-2016

Fax

(386) 238-9845

NPI assigned

May 12, 2021

Last updated

May 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Peter Gendi

Title

Owner

Phone

(386) 366-2016

Specialties & licenses 2

Addresses

Other names 1

• Dental and Medical Supplies Doing business as

Locations

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1396329538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 S NOVA RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747332",
            "telephone_number": "386-366-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 S NOVA RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747332",
            "telephone_number": "386-366-2016",
            "fax_number": "386-238-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARAOHS TRADING L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "GENDI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-366-2016",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental and Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcia Kay Peterzell, APRN
• Lawrence Richard Petker, D.C.
• Vito Aniello Petrozzino, M.D.
• Tamara Fields Pettit, MS, LMFT
• Lorenzo Tien Phan, L.AC
• Terri Phoenix, M.ED., LPC, NCC
• Phpts of Ormond Beach, LLC (5Palms)
• Physicians Ambulatory Surgery Center Inc
• Charles Lawrence Piazza Jr., DPT, ATC, MTC
• Jill Anne Piazza, PT

• Durable Medical Equipment & Medical Supplies in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.