Active NPI
Pyrus Supply LLC
- Durable Medical Equipment & Medical Supplies
- Loganville, GA
National Provider Identifier
1508398298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PYRUS SUPPLY LLC
- Practice address
- 1585 Stephens Pond VW
Loganville, GA 30052-8756 - Phone
- (678) 785-7810
- NPI assigned
- Mar 31, 2017
- 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
- Osman Salifu
- Title
- Ceo
- Phone
- (678) 785-7810
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
1585 Stephens Pond VW
Loganville, GA 30052-8756
Mailing address
1585 Stephens Pond VW
Loganville, GA 30052-8756
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490918400000",
"number": "1508398298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1585 STEPHENS POND VW",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300528756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 STEPHENS POND VW",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300528756",
"telephone_number": "678-785-7810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PYRUS SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-31",
"last_updated": "2017-03-31",
"status": "A",
"authorized_official_last_name": "SALIFU",
"authorized_official_first_name": "OSMAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-785-7810"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.