Organization Active NPI

Rainbow Supply Medical

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
National Provider Identifier
1790020691
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RAINBOW SUPPLY MEDICAL
Practice address
342 Broadway
Suite #113
New York, NY 10013-3910
Phone
(703) 485-6393
NPI assigned
Dec 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
John Pickens
Title
President
Phone
(703) 485-6393

Specialties & licenses 1

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

Addresses

Primary practice location

342 Broadway
Suite #113
New York, NY 10013-3910

Mailing address

342 Broadway
Suite #113
New York, NY 10013-3910
Phone (703) 485-6393

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1790020691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 BROADWAY",
            "address_2": "SUITE #113",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133910",
            "telephone_number": "703-485-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 BROADWAY",
            "address_2": "SUITE #113",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133910",
            "telephone_number": "703-485-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW SUPPLY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "PICKENS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-485-6393"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.