Your Health Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20167370 Issued in AZ

Legal business name

YOUR HEALTH SUPPLIES INC

Practice address

4920 W Thunderbird Rd
Ste 125
Glendale, AZ 85306-4905

Phone

(602) 439-2771

Fax

(602) 439-2789

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Sergiy Khomyak

Title

President

Phone

(605) 439-2771

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790987444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 W THUNDERBIRD RD",
            "address_2": "STE 125",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064905",
            "telephone_number": "602-439-2771",
            "fax_number": "602-439-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 W THUNDERBIRD RD",
            "address_2": "STE 125",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064905",
            "telephone_number": "602-439-2771",
            "fax_number": "602-439-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HEALTH SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHOMYAK",
        "authorized_official_first_name": "SERGIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-439-2771"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "20167370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise G Young, D.C.
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• Jennifer Dara Young, MC, LPC
• Lexie Young
• Ray Young, LPC
• Your Needs R US
• Your Visiting Doctor, PLLC
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• Youth Renewal Sciences LLC
• Ethan Jerry Yoza, DDS, FAGD

• Durable Medical Equipment & Medical Supplies in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• 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.