Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

600004945 Issued in PA

Legal business name

MEDICAL SUPPLY INC

Practice address

10 Poulson Ave
Essington, PA 19029-1515

Phone

(610) 521-7402

Fax

(610) 521-7402

NPI assigned

Oct 13, 2006

Last updated

Sep 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Catherine Ann Kennedy

Title

Manager

Phone

(610) 521-7402

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Medical Supply Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Essington, PA
  • NPI 1811946700
  NPD tax ID

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1972693968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 POULSON AVE",
            "city": "ESSINGTON",
            "state": "PA",
            "postal_code": "190291515",
            "telephone_number": "610-521-7402",
            "fax_number": "610-521-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 POULSON AVE",
            "city": "ESSINGTON",
            "state": "PA",
            "postal_code": "190291515",
            "telephone_number": "610-521-7402",
            "fax_number": "610-521-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-521-7402",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "600004945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Careway LLC
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• Medical Supply Inc
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• Occupational Health Centers of the Southwest P.a. (Concentra Medical Centers)
• Original Global Branding Management and Distribution LLC
• Philadelphia Rehab, Inc.
• Jay Smith

• Durable Medical Equipment & Medical Supplies in Essington, PA
• Providers in Essington, 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 Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.