The Medical Store, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

THE MEDICAL STORE, INC.

Practice address

78 Brookside Ave
Suite 139
Chester, NY 10918-1059

Phone

(845) 469-5550

Fax

(845) 469-6088

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Louis Tironi

Title

President

Phone

(845) 469-5550

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1457415119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 BROOKSIDE AVE",
            "address_2": "SUITE 139",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109181059",
            "telephone_number": "845-469-5550",
            "fax_number": "845-469-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 BROOKSIDE AVE",
            "address_2": "SUITE 139",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109181059",
            "telephone_number": "845-469-5550",
            "fax_number": "845-469-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "TIRONI",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-469-5550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01211370",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Chester, NY
• Providers in Chester, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.