KINGSMOUNT INC. (NPI# 1376576355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376576355 |
| Entity Type | Organization |
| Organization Name | KINGSMOUNT INC. |
| Other Organization Name | FOOT COMFORT CENTER - ITALIAN SHOE WAREHOUSE |
| Practice Address |
9808 Bustleton Ave Philadelphia PA 19115-2190 |
| Practice Telephone | 2156767463 |
| Mailing Telephone | 2156767463 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-08-02 |
| Authorized Official Name | SOFYA TAMARKIN (MANAGER) |
| Authorized Official Telephone | 2156767463 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 6000005644 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PROV ID - BLUE CROSS | 240588 | 01 |
| PA | 31636 | HEALTH PARTNERS | 01 |
| PA | 01843928-01 | AMERICHOICE | 01 |
| PA | PROV ID - KEYSTONE HPE | 0005147000 | 01 |
| PA | 0018439280002 | 05 | |
| PA | PROV ID- KEYSTONE MERCY | 1148890 | 01 |
| Other Name | Type Code |
|---|---|
| Foot Comfort Center - Italian Shoe Warehouse | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679710065 | Kingsmount Inc. | Durable Medical Equipment & Medical Supplies | 6113 Woodland Ave, Philadelphia, PA 19142-2418 | 2009-01-07 |
| 1558530063 | Kingsmount Inc. | Durable Medical Equipment & Medical Supplies | Foot Comfort Center, 1937 E Passyunk Ave, Philadelphia, PA 19148 | 2008-02-28 |
| 1427227941 | Kingsmount Inc. | Durable Medical Equipment & Medical Supplies | 1380 Easton Rd - Unit 11, Foot Comfort Center, Warrington, PA 18976 | 2008-02-28 |
| 1396914818 | Kingsmount Inc. | Durable Medical Equipment & Medical Supplies | Foot Comfort Center, 4733 Frankford Ave, Philadelphia, PA 19124 | 2008-02-28 |
| Street Address |
9808 BUSTLETON AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972687135 | Master Care Rehabilitation, PC | Clinic/Center | 9808 Bustleton Ave, Philadelphia, PA 19115-2190 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| 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 |
|---|---|---|---|---|
| 1710590534 | Restorative Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1516 N 5th St Unit 327, Philadelphia, PA 19122-3679 | 2020-08-31 |
| 1730799982 | The Medical Store, Inc. | Durable Medical Equipment & Medical Supplies | 210 Canal Pl, Philadelphia, MS 39350-8909 | 2020-08-03 |
| 1487279170 | The Doctor Shop L.L.C. | Durable Medical Equipment & Medical Supplies | 10067 Sandmeyer Ln Ste 214, Philadelphia, PA 19116-3533 | 2020-06-09 |
| 1427687813 | Squeezren, LLC | Durable Medical Equipment & Medical Supplies | 5902 Old York Rd, Philadelphia, PA 19141-2342 | 2020-04-07 |
| 1881228930 | Vantage Eyecare, LLC | Durable Medical Equipment & Medical Supplies | 1930 S Broad St Unit 16, Philadelphia, PA 19145-2328 | 2020-02-27 |
| 1508410531 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3550 Market St Ste 103, Philadelphia, PA 19104-3329 | 2019-07-29 |
| 1033761788 | Pennsylvania Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 490 N. Broad Street Suite 100, Philadelphia, PA 19130-4312 | 2019-07-12 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1174189294 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1717 N 12th St Unit F, Philadelphia, PA 19122-2585 | 2019-05-14 |
| 1285196238 | Ernest Thomas Jr. | Durable Medical Equipment & Medical Supplies | 300 E Godfrey Ave, Philadelphia, PA 19120-1646 | 2019-04-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19115 |
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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.