Active NPI
Sage Medical Supply
- Durable Medical Equipment & Medical Supplies
- Downingtown, PA
National Provider Identifier
1811550569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SAGE MEDICAL SUPPLY
- Practice address
- 4301 W Lincoln Hwy
Downingtown, PA 19335-2226 - Phone
- (484) 364-3039
- Fax
- (610) 471-0791
- NPI assigned
- Apr 18, 2019
- Last updated
- Apr 18, 2019
- Organization subpart
- Yes
- Parent organization
- SAGE MEDICAL SUPPLY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert K Robinson
- Title
- Operations Manager
- Phone
- (484) 883-1665
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4301 W Lincoln Hwy
Downingtown, PA 19335-2226
Mailing address
4301 W Lincoln Hwy
Downingtown, PA 19335-2226
Phone (484) 364-3039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1035381730001 | Medicaid | PA |
National Provider Directory
National Provider Directory- Part of
- Sage Medical Supply
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Durable Medical Equipment & Medical Supplies
- Downingtown, PA
- NPI 1871090357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555545600000",
"number": "1811550569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W LINCOLN HWY",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "193352226",
"telephone_number": "484-364-3039",
"fax_number": "610-471-0791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W LINCOLN HWY",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "193352226",
"telephone_number": "484-364-3039",
"fax_number": "610-471-0791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE MEDICAL SUPPLY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAGE MEDICAL SUPPLY",
"enumeration_date": "2019-04-18",
"last_updated": "2019-04-18",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "484-883-1665",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1035381730001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Downingtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.