Organization Active NPI

Genereal Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Sun City West, AZ
National Provider Identifier
1871547406
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
20119477 Issued in AZ
Legal business name
GENEREAL MEDICAL SUPPLY
Practice address
14506 W Granite Valley Dr
# 100
Sun City West, AZ 85375-6010
Phone
(623) 546-3222
Fax
(623) 546-3246
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Davit Sedrakyan
Title
Owner
Phone
(623) 546-3222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 20119477 AZ Primary

Addresses

Primary practice location

14506 W Granite Valley Dr
# 100
Sun City West, AZ 85375-6010

Mailing address

14506 W Granite Valley Dr
# 100
Sun City West, AZ 85375-6010
Phone (623) 546-3222

National Provider Directory

National Provider Directory

Locations

14506 W Granite Valley Dr
Ste 100
Sun City West, AZ 85375
Phone (623) 546-3222

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1871547406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14506 W GRANITE VALLEY DR",
            "address_2": "# 100",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853756010",
            "telephone_number": "623-546-3222",
            "fax_number": "623-546-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14506 W GRANITE VALLEY DR",
            "address_2": "# 100",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853756010",
            "telephone_number": "623-546-3222",
            "fax_number": "623-546-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEREAL MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SEDRAKYAN",
        "authorized_official_first_name": "DAVIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-546-3222"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "20119477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.