Phoenix Medical Supply Company

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PHOENIX MEDICAL SUPPLY COMPANY

Practice address

2217 Princess Anne St
Suite B10
Fredericksburg, VA 22401-3353

Phone

(877) 270-1110

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Daphne I Jones

Title

Owner

Phone

(877) 270-1110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1871789875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 PRINCESS ANNE ST",
            "address_2": "SUITE B10",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013353",
            "telephone_number": "877-270-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 PRINCESS ANNE ST",
            "address_2": "SUITE B10",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013353",
            "telephone_number": "877-270-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MEDICAL SUPPLY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-270-1110",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Phillips
• Sarah Phillips, BS, COTA/L
• Taylor Nikole Phillips, PA-C
• Autumn Jade Phipps
• Phoenix Healthcare of Virginia LLC
• Physical Medicine Associates LTD
• Physical Therapy of Central Virginia, LLC
• Physicians Edge
• Hazel Marie Pickering-Luttrell, C.R.N.A.
• Stacy Larson Pierce

• Durable Medical Equipment & Medical Supplies in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.