YOUR MEDICAL STORE,LLC (NPI# 1093142036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093142036 |
| Entity Type | Organization |
| Organization Name | YOUR MEDICAL STORE,LLC |
| Practice Address |
34 West Ave Brockport NY 14420-1304 |
| Mailing Address |
245 S Main St Albion NY 14411-1642 |
| Practice Telephone | 5853911424 |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-04 |
| Authorized Official Name | DR. PANKAJ GARG (PRESIDENT) |
| Authorized Official Telephone | 5853911424 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | YOUR MEDICAL STORE,LLC | 34 West Ave, Brockport, Ny 14420 |
| Street Address |
34 WEST AVE |
| City | BROCKPORT |
| State | NY |
| Zip Code | 14420-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144434408 | Brockport Internal Medicine, PC | Internal Medicine | 34 West Ave, Brockport, NY 14420-1304 | 2007-05-09 |
| 1518394386 | Community Urgent Center,llc | Clinic/Center | 34 West Ave, Brockport, NY 14420-1304 | 2013-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194217471 | Brianna Lynn Bunch | Licensed Practical Nurse | 126 White Road, Brockport, NY 14420 | 2018-06-03 |
| 1174012785 | Penny Bowers | Massage Therapist | 27 Market Street, Upstairs, Brockport, NY 14420 | 2018-05-09 |
| 1386172062 | Allison Manly | Dentist | 1000 Transit Way, Brockport, NY 14420 | 2017-05-25 |
| 1235518143 | Erin B Chapman | Physical Medicine & Rehabilitation | 350 New Campus Drive, Brockport, NY 14420 | 2015-05-26 |
| 1972853653 | Theresa Fox Lehman | Specialist | 32 Mission Hill Drive, Brockport, NY 14420 | 2012-09-11 |
| 1689946303 | Beverly Whiteman | Registered Nurse | 40 Allen St., Brockport, NY 14420 | 2012-01-27 |
| 1316217425 | Julie Ann Knapp | Registered Nurse | 40 Allen Street, Brockport Central School District, Brockport, NY 14420 | 2012-01-05 |
| 1851678965 | Jennifer Anne Cohen | Registered Nurse | 188 Utica Street, Brockport, NY 14420 | 2011-11-03 |
| 1205088960 | Amy Maureen Hennessy | Obstetrics & Gynecology | 6668 Fourth Section Rd Ste 500, Brockport, NY 14420 | 2008-10-14 |
| 1053454884 | Nancy S Iafrati | Nurse Practitioner | Suny Brockport Student Health Center, 350 New Campus Drive, Brockport, NY 14420 | 2007-02-14 |
| Find all providers in zip 14420 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306148317 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 6510 Brockport Spencerport Rd, Brockport, NY 14420-2630 | 2010-11-23 |
| 1114026374 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 6515 Brockport Spencerport Road, Brockport, NY 14420-2666 | 2006-09-22 |
| 1740399070 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 73 North Main Street, Big M Shopping Center, Brockport, NY 14420-1648 | 2006-08-30 |
| 1205853371 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 6265 Brockport Spencerport Rd, Brockport, NY 14420-2605 | 2006-07-16 |
| 1831134592 | Stargate Mobility | Durable Medical Equipment & Medical Supplies | 5688 Route 219, Brockport, PA 15823-1818 | 2006-06-18 |
| 1053835629 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 73 N Main St, Brockport, NY 14420-1648 | 2017-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871161 | Martor Case Management LLC | Durable Medical Equipment & Medical Supplies | 400 Jordan Rd, Troy, NY 12180-8378 | 2020-11-02 |
| 1639770258 | Orthowellness, Inc | Durable Medical Equipment & Medical Supplies | 771 Hempstead Tpke, Elmont, NY 11003-2439 | 2020-11-02 |
| 1992305809 | Heal It Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 266 Jericho Tpke Ste 111, Floral Park, NY 11001-2170 | 2020-10-29 |
| 1770182537 | Ortho-aid Inc | Durable Medical Equipment & Medical Supplies | 20526 Linden Blvd, Saint Albans, NY 11412-2926 | 2020-10-22 |
| 1376142257 | On Hand Medical Inc | Durable Medical Equipment & Medical Supplies | 740 Myrtle Ave, Brooklyn, NY 11205-3953 | 2020-10-21 |
| 1063011260 | Bella Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 52 S Stone Ave, Elmsford, NY 10523-3607 | 2020-10-20 |
| 1720687023 | 82nd Corner LLC | Durable Medical Equipment & Medical Supplies | 461 Columbus Ave, New York, NY 10024-5107 | 2020-10-19 |
| 1497353221 | Ozone Park Supply Inc | Durable Medical Equipment & Medical Supplies | 9718 101st Ave, Ozone Park, NY 11416-2561 | 2020-10-14 |
| 1710585559 | Quality Med Equp Inc | Durable Medical Equipment & Medical Supplies | 18742a Hillside Ave, Jamaica, NY 11432-3217 | 2020-10-14 |
| 1770181901 | Ave U Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1306 Avenue U, Brooklyn, NY 11229-3306 | 2020-10-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.