Organization Active NPI

Triumph Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Bronx, NY
National Provider Identifier
1770808669
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TRIUMPH MEDICAL SUPPLY LLC
Practice address
1506 Castle Hill Ave
Bronx, NY 10462-4210
Phone
(347) 810-6787
Fax
(347) 810-6786
NPI assigned
Apr 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Mr. Elijah Tolu Omolade
Title
Managing Partner
Phone
(917) 478-4451

Specialties & licenses 1

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

Addresses

Primary practice location

1506 Castle Hill Ave
Bronx, NY 10462-4210

Mailing address

317 Castle Hill Ave
Bronx, NY 10473-1642
Phone (917) 478-4451

National Provider Directory

National Provider Directory

Locations

1506 Castle Hill Ave
Bronx, NY 10462
Phone (347) 810-6787

NPI Registry JSON

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1770808669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 CASTLE HILL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104731642",
            "telephone_number": "917-478-4451",
            "fax_number": "347-851-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 CASTLE HILL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624210",
            "telephone_number": "347-810-6787",
            "fax_number": "347-810-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPH MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-02",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "OMOLADE",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_middle_name": "TOLU",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "917-478-4451",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.