Organization Active NPI

Franwin Pharmacy Mineola Surgical Supply Corp

  • Durable Medical Equipment & Medical Supplies
  • Mineola, NY
National Provider Identifier
1558486019
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
022147 Issued in NY
Legal business name
FRANWIN PHARMACY MINEOLA SURGICAL SUPPLY CORP
Practice address
127 Mineola Blvd
Mineola, NY 11501-3917
Phone
(516) 746-4720
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert C Somerville
Title
Ceo President
Phone
(516) 746-4720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 022147 NY Primary

Addresses

Primary practice location

127 Mineola Blvd
Mineola, NY 11501-3917

Mailing address

127 Mineola Blvd
Mineola, NY 11501-3917
Phone (516) 746-4720

Other identifiers 1

IdentifierTypeStateIssuer
00426206MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Franwin Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558486019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MINEOLA BLVD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013917",
            "telephone_number": "516-746-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MINEOLA BLVD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013917",
            "telephone_number": "516-746-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANWIN PHARMACY MINEOLA SURGICAL SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOMERVILLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "516-746-4720",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "022147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00426206",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.