Phephi Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PHEPHI MEDICAL SUPPLY, LLC

Practice address

215 Salem St Ste 13
Woburn, MA 01801-2070

Phone

(781) 491-0439

NPI assigned

Jul 29, 2020

Organization subpart

No

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

Authorized official

Name

Phelly Bukirwa

Title

Owner

Phone

(781) 491-0439

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1861001489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SALEM ST STE 13",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012070",
            "telephone_number": "781-491-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SALEM ST STE 13",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012070",
            "telephone_number": "781-491-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHEPHI MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "BUKIRWA",
        "authorized_official_first_name": "PHELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-491-0439"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Petteys, M.D.
• Lisa Pezzella
• Lakeisha Pham
• Natalie Maridee Phat
• Kristen Phelps, BCBA, LABA
• Phephi Services Inc
• Dianne Elizabeth Phillips, DVM
• Nancy Katharine Phillips
• Susan J. Phipps, M.ED., LMHC
• Sharon Phung

• Durable Medical Equipment & Medical Supplies in Woburn, MA
• Providers in Woburn, MA by specialty
• Durable Medical Equipment & Medical Supplies in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.