Organization Active NPI

Primecare Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Edmond, OK
National Provider Identifier
1811831860
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRIMECARE MEDICAL SUPPLY INC
Practice address
19417 Candleberry Dr
Edmond, OK 73012-3613
Phone
(631) 784-3202
NPI assigned
Apr 17, 2026
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Saad Ullah Shariff
Title
Owner
Phone
(631) 784-3202

Specialties & licenses 1

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

Addresses

Primary practice location

19417 Candleberry Dr
Edmond, OK 73012-3613

Mailing address

19417 Candleberry Dr
Edmond, OK 73012-3613

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1811831860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19417 CANDLEBERRY DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730123613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19417 CANDLEBERRY DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730123613",
            "telephone_number": "631-784-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "SHARIFF",
        "authorized_official_first_name": "SAAD",
        "authorized_official_middle_name": "ULLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-784-3202"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.