Prosper Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROSPER MEDICAL SUPPLY

Doing business as

Prosper Medical Supply

Practice address

6121 Stone Bluff Dr
Glen Allen, VA 23060-2431

Phone

(804) 625-8841

NPI assigned

May 5, 2021

Organization subpart

No

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

Authorized official

Name

Torri Robinson, REGISTERED NURSE

Title

Owner

Phone

(804) 625-8841

Specialties & licenses 1

Addresses

Other names 1

• Prosper Medical Supply Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1508440678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 STONE BLUFF DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230602431",
            "telephone_number": "804-625-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 STONE BLUFF DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230602431",
            "telephone_number": "804-625-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "TORRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-625-8841",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@prospermedicalsupply.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "6121 Stone Bluff Dr",
            "city": "Glen Allen",
            "state": "VA",
            "country_code": "US",
            "postal_code": "230602431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Prosper Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.