MOUNTAIN PEAKS MEDICAL SUPPLIES, INC. (NPI# 1982931911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982931911 |
Entity Type | Organization |
Organization Name | MOUNTAIN PEAKS MEDICAL SUPPLIES, INC. |
Other Organization Name | PRIME CARE MEDICAL EQUIPMENT |
Practice Address |
16 Walker Way Albany NY 12205-4995 |
Practice Telephone | 5184566192 |
Practice Fax Number | 5184566193 |
Mailing Telephone | 5184566192 |
Mailing Fax Number | 5184566193 |
Enumeration Date | 2009-11-12 |
Last Update Date | 2009-11-12 |
Authorized Official Name | MR. JOHN A HYDE (VICE PRESIDENT) |
Authorized Official Telephone | 5184566192 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 03081761 | 05 |
Other Name | Type Code |
---|---|
Prime Care Medical Equipment | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518952472 | Mountain Peaks Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 16 Walker Way, Albany, NY 12205-4995 | 2005-09-16 |
1790012722 | Mountain Peaks Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 16 Walker Way, Albany, NY 12205-4995 | 2009-11-12 |
Street Address |
16 WALKER WAY |
City | ALBANY |
State | NY |
Zip Code | 12205-4995 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518952472 | Mountain Peaks Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 16 Walker Way, Albany, NY 12205-4995 | 2005-09-16 |
1467904532 | Alexander Harmuth | Pharmacist | 16 Walker Way, Albany, NY 12205-4998 | 2016-10-25 |
1366765836 | Jill A. Ltaif | Pharmacist | 16 Walker Way, Albany, NY 12205-4995 | 2010-03-11 |
1629391339 | Lorraine Ann Herkenham | Pharmacist | 16 Walker Way, Albany, NY 12205-4995 | 2010-03-09 |
1497078737 | Andrea Lena Beers | Pharmacist | 16 Walker Way, Albany, NY 12205-4995 | 2010-03-01 |
1023330255 | Stephen L Jette | Pharmacist | 16 Walker Way, Albany, NY 12205-4995 | 2010-02-15 |
1942532510 | Kelly Lynn Flynn | Pharmacist | 16 Walker Way, Albany, NY 12205-4995 | 2010-02-08 |
1245562974 | Nancy C Baughn | Pharmacist | 16 Walker Way, Albany, NY 12205-4995 | 2010-02-05 |
1790012722 | Mountain Peaks Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 16 Walker Way, Albany, NY 12205-4995 | 2009-11-12 |
1710145545 | Diane Lynn Desorbo | Pharmacist | 16 Walker Way, Albany, NY 12205-4995 | 2008-05-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
Find all providers in zip 12205 |
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 |
---|---|---|---|---|
1144854191 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 260 S Pearl St Ste P, Albany, NY 12202-1809 | 2020-02-28 |
1801451919 | Optum Telemed, Inc. | Durable Medical Equipment & Medical Supplies | 2021 N Slappey Blvd Ste 203, Albany, GA 31701-1001 | 2019-05-03 |
1578088795 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 911 Central Ave Ste 10, Albany, NY 12206-1304 | 2017-08-09 |
1265962906 | Shoes and Medical Product Solutions LLC | Durable Medical Equipment & Medical Supplies | 1715 E Oglethorpe Blvd, Albany, GA 31705 | 2017-06-15 |
1255867545 | David Sampson | Durable Medical Equipment & Medical Supplies | 208 Adelyn Rd, Albany, GA 31705-2308 | 2017-05-04 |
1164889580 | Georgia Bracing Center | Durable Medical Equipment & Medical Supplies | 2021 N Slappey Blvd, Ste 203, Albany, GA 31701-1001 | 2016-01-16 |
1962872762 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2586 N Slappey Blvd, Albany, GA 31701-1012 | 2015-10-06 |
1255717278 | Shearer Drug Inc | Durable Medical Equipment & Medical Supplies | 260 Burkesville Rd, Albany, KY 42602 | 2015-07-31 |
1841673811 | Optum Infusion Services 100, Inc. | Durable Medical Equipment & Medical Supplies | 25 Post Rd, Ste. 5, Albany, NY 12205-4781 | 2015-07-08 |
1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
Find all providers in ALBANY |
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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.