Organization Active NPI

Savana Medical Supply,Inc

  • Durable Medical Equipment & Medical Supplies
  • Savannah, GA
National Provider Identifier
1891932927
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
423450 Issued in GA
Legal business name
SAVANA MEDICAL SUPPLY,INC
Practice address
713 E 65TH St
Savannah, GA 31405-4408
Phone
(912) 692-1102
Fax
(800) 374-5004
NPI assigned
Jan 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Khoren Gasparian
Title
Owner
Phone
(912) 692-1102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 423450 GA Primary

Addresses

Primary practice location

713 E 65TH St
Savannah, GA 31405-4408

Mailing address

713 E 65TH St
Savannah, GA 31405-4408
Phone (912) 692-1102

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1891932927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 E 65TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054408",
            "telephone_number": "912-692-1102",
            "fax_number": "800-374-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E 65TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054408",
            "telephone_number": "912-692-1102",
            "fax_number": "800-374-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANA MEDICAL SUPPLY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "GASPARIAN",
        "authorized_official_first_name": "KHOREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-692-1102"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "423450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.