Prime Health Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRIME HEALTH SUPPLY LLC

Practice address

1023 Executive Parkway Dr Ste 7
Saint Louis, MO 63141-6323

Phone

(636) 252-0703

NPI assigned

May 15, 2026

Organization subpart

No

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

Authorized official

Name

Shagufta Khan

Title

Owner

Phone

(636) 252-0703

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1689503633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 EXECUTIVE PARKWAY DR STE 7",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416323",
            "telephone_number": "636-252-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 EXECUTIVE PARKWAY DR STE 7",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416323",
            "telephone_number": "636-252-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHAGUFTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-252-0703"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prima Health Care Services, LLC
• Primary Care Inc.
• Primary Healthcare STL, LLC
• Primary Medical Services, LLC
• Prime Acquisitions, LLC
• Prime Home Care LLC
• Prime Home Health Care Family Limited Partnership
• Primebridge Psychiatric Care LLC
• Primecare at Home Services LLC
• Joseph M Primrose, MD

• Durable Medical Equipment & Medical Supplies in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.