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PERSONAL SUPPORT MEDICAL SUPPLIERS INC NPI 1881691558


NPI Information

NPI: 1881691558
Provider Name: PERSONAL SUPPORT MEDICAL SUPPLIERS INC

Doing Business As: PERSONAL SUPPORT PHARMACY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
262 GEIGER RD
PHILADELPHIA, PA
ZIP 19115
Phone: (215) 464-7304
Get Directions

PERSONAL SUPPORT MEDICAL SUPPLIERS INC is a durable medical equipment medical supplies in Philadelphia, PA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PERSONAL SUPPORT MEDICAL SUPPLIERS INC NPI is 1881691558. The provider is registered as an organization entity type.
The provider Is Doing Business As Personal Support Pharmacy.

The provider's business location address is:

262 GEIGER RD
PHILADELPHIA, PA
ZIP 19115
Phone: (215) 464-7304
Fax: (215) 437-6633

The provider's authorized official is David Hatooka .
The authorized official title is President and has the following contact phone number (215) 464-7304.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 8/8/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionPENNSYLVANIANo
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesPENNSYLVANIANo
3333600000XPharmacyPP481409PENNSYLVANIANo
43336H0001XPharmacyHome Infusion Therapy PharmacyNo
5335E00000XProsthetic/Orthotic SupplierPENNSYLVANIANo
6332B00000XDurable Medical Equipment & Medical SuppliesPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001850216-0005MEDICAIDPENNSYLVANIA
2001850216-0007MEDICAIDPENNSYLVANIA
30072869MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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