Primrose Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

163204 Issued in CO

Legal business name

PRIMROSE MEDICAL SUPPLY, LLC

Practice address

3724 W Quiet Cir
Colorado Springs, CO 80917-2053

Phone

(303) 981-4078

NPI assigned

Nov 11, 2009

Organization subpart

No

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

Authorized official

Name

Ella Goldblat, RN, BSN

Title

Partner

Phone

(303) 981-4078

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1851628879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 QUIET CIRCLE W.",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80917",
            "telephone_number": "303-981-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 W QUIET CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809172053",
            "telephone_number": "303-981-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMROSE MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "GOLDBLAT",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "303-981-4078",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "163204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.