Organization Active NPI

Standard Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Moon Township, PA
National Provider Identifier
1982922639
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
3000007829 Issued in PA
Legal business name
STANDARD MEDICAL SUPPLY, INC.
Practice address
95 Spring Run Road Ext
Suite 410
Moon Township, PA 15108-9043
Phone
(412) 424-0062
Fax
(412) 424-0067
NPI assigned
May 5, 2010
Organization subpart
Yes
Parent organization
STANDARD MEDICAL SUPLY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Mr. Anthony J Sciole
Title
Chief Financial Officer
Phone
(610) 328-9767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3000007829 PA Primary

Addresses

Primary practice location

95 Spring Run Road Ext
Suite 410
Moon Township, PA 15108-9043

Mailing address

1101 Sussex Blvd
Broomall, PA 19008-4012
Phone (610) 328-9767

Other identifiers 1

IdentifierTypeStateIssuer
0017536420001MedicaidPA

National Provider Directory

National Provider Directory
Part of
Standard Medical Supply Inc

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1982922639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SUSSEX BLVD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190084012",
            "telephone_number": "610-328-9767",
            "fax_number": "610-544-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SPRING RUN ROAD EXT",
            "address_2": "SUITE 410",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151089043",
            "telephone_number": "412-424-0062",
            "fax_number": "412-424-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDARD MEDICAL SUPPLY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STANDARD MEDICAL SUPLY, INC",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "SCIOLE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "610-328-9767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "3000007829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017536420001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.