Organization Active NPI

Garanthe Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Snellville, GA
National Provider Identifier
1427267350
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2016OCC-006596 Issued in GA
Legal business name
GARANTHE MEDICAL SUPPLY
Doing business as
Garanthe Medical Supply
Practice address
2400 Wisteria Dr
Suite F
Snellville, GA 30078-2273
Phone
(770) 441-9992
Fax
(770) 441-9947
NPI assigned
May 21, 2007
Last updated
Oct 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
Ms. Ranti HernandezNPI 1245253632
Title
Authorize Official
Phone
(770) 441-9992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2016OCC-006596 GA Primary

Addresses

Primary practice location

2400 Wisteria Dr
Suite F
Snellville, GA 30078-2273

Mailing address

2400 Wisteria Dr
Suite F
Snellville, GA 30078-2689
Phone (770) 441-9992

Other identifiers 2

IdentifierTypeStateIssuer
996735450BMedicaidGA
996735450-AMedicaidGA

Other names 1

  • GARANTHE MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory

Locations

5500 Oakbrook Pkwy
Ste 180
Norcross, GA 30093
Phone (770) 441-9992

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1427267350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WISTERIA DR",
            "address_2": "SUITE F",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782689",
            "telephone_number": "770-441-9992",
            "fax_number": "770-441-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WISTERIA DR",
            "address_2": "SUITE F",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782273",
            "telephone_number": "770-441-9992",
            "fax_number": "770-441-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARANTHE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "RANTI",
        "authorized_official_title_or_position": "AUTHORIZE OFFICIAL",
        "authorized_official_telephone_number": "770-441-9992",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "2016OCC-006596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "996735450B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "996735450-A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GARANTHE MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.