Graymed Supplies LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

GRAYMED SUPPLIES LLC

Practice address

501 Abbott Dr Ste U
Broomall, PA 19008-4320

Phone

(347) 223-7593

NPI assigned

Feb 19, 2026

Organization subpart

No

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

Authorized official

Name

Kevon Gray

Title

Owner

Phone

(347) 223-7593

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1771459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1508719352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ABBOTT DR STE U",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190084320",
            "telephone_number": "347-223-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ABBOTT DR STE U",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190084320",
            "telephone_number": "347-223-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYMED SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "KEVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-223-7593"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Gormley, MA, LBS, BCBA
• Elina Igorevna Gorovaya
• Jennifer Lynn Gowdy, IBCLC
• Suman Goyal, MD
• Anna Sorenson Graseck, MD
• Thomas William Graziano, D.C.
• Jeremy Jon Gresh, DPT
• Samantha Grimes, MSW, LCS
• Mary Lee Grizzle, MA
• Christina Rose Groff

• Home Modifications Contractor in Broomall, PA
• Providers in Broomall, PA by specialty
• Home Modifications Contractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.