Organization Active NPI

Spine Source Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Richboro, PA
National Provider Identifier
1972408490
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SPINE SOURCE SUPPLY LLC
Practice address
289 Holly Hill Rd
Richboro, PA 18954-1948
Phone
(215) 378-8858
Fax
(215) 378-8858
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Christopher J Tranchitella
Title
Co-Owner
Phone
(215) 840-6620

Specialties & licenses 1

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

Addresses

Primary practice location

289 Holly Hill Rd
Richboro, PA 18954-1948

Mailing address

289 Holly Hill Rd
Richboro, PA 18954-1948
Phone (215) 378-8858

NPI Registry JSON

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1972408490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 HOLLY HILL RD",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541948",
            "telephone_number": "215-378-8858",
            "fax_number": "215-378-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 HOLLY HILL RD",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541948",
            "telephone_number": "215-378-8858",
            "fax_number": "215-378-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SOURCE SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "TRANCHITELLA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "215-840-6620"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.