Harbor Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

DME0218OF Issued in CA

Legal business name

HARBOR MEDICAL SUPPLY

Practice address

2917 W Capitol Ave
West Sacramento, CA 95691-2910

Phone

(916) 372-8766

Fax

(916) 372-1750

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Nelly Merzheritsky

Title

Manager

Phone

(415) 336-9269

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1720117203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 W CAPITOL AVE",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912910",
            "telephone_number": "916-372-8766",
            "fax_number": "916-372-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 W CAPITOL AVE",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912910",
            "telephone_number": "916-372-8766",
            "fax_number": "916-372-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "MERZHERITSKY",
        "authorized_official_first_name": "NELLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "415-336-9269",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "DME0218OF",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02180F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toya Sherisse Haney
• Mario Hankton, B.S
• Annette Marie Hanna, PHARM.D.
• Brent Hanson, MD
• Jason William Harano-Fong
• Anthony Shawn Harland
• Valerie Ann Harris-Reamer, M.S., LMFT
• Shannon R Hartman, LCSW
• Wayne Harvel, ASW
• India Harvey

• Durable Medical Equipment & Medical Supplies in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.