Personal Support Medical Suppliers Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PERSONAL SUPPORT MEDICAL SUPPLIERS INC

Doing business as

Personal Support Pharmacy

Practice address

262 Geiger Rd
Philadelphia, PA 19115

Phone

(215) 464-7304

Fax

(215) 437-6633

NPI assigned

Jul 7, 2005

Organization subpart

Yes

Parent organization

PERSONAL SUPPORT MEDICAL SUPPLIERS INCAs reported in NPPES

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

Authorized official

Name

David Hatooka

Title

President

Phone

(215) 464-7304

Specialties & licenses 6

Addresses

Other identifiers 3

Other names 1

• Personal Support Pharmacy Doing business as

Part of

Personal Support Medical Suppliers Inc

Locations

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1881691558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 GEIGER ROAD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151008",
            "telephone_number": "215-464-7304",
            "fax_number": "215-437-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 GEIGER RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19115",
            "telephone_number": "215-464-7304",
            "fax_number": "215-437-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL SUPPORT MEDICAL SUPPLIERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERSONAL SUPPORT MEDICAL SUPPLIERS INC",
        "enumeration_date": "2005-07-07",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "HATOOKA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-464-7304"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP481409",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072869",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001850216-0005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001850216-0007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Support Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Personal Support Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.