PREMIUM MEDICAL SUPPLY LLC (NPI# 1497222558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497222558 |
| Entity Type | Organization |
| Organization Name | PREMIUM MEDICAL SUPPLY LLC |
| Practice Address |
1565 Ebenezer Rd Ste 106 Rock Hill SC 29732 |
| Practice Telephone | 8036660077 |
| Mailing Telephone | 8036204482 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | ZINAIDA GORYACHEVA (OWNER) |
| Authorized Official Telephone | 8036660077 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1565 Ebenezer Rd, Ste 106, Rock Hill, SC 29732 | 8036204482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164915427 | Premium Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3011 Rainbow Dr Ste 303, Decatur, GA 30034-1681 | 2018-06-12 |
| 1326390881 | Premium Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 26 6th Ave N, Suite 370, Saint Cloud, MN 56303-4558 | 2012-10-09 |
| Street Address |
1565 EBENEZER RD STE 106 |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518956689 | L D Bartel | Ophthalmology | 1565 Ebenezer Rd, Rock Hill, SC 29732-1806 | 2005-10-20 |
| 1922438654 | Patrick Michael Hull | Social Worker | 1565 Ebenezer Rd, Suite 134, Rock Hill, SC 29732 | 2013-11-15 |
| 1003071119 | Amanda Patterson Scobey | Audiologist | 1565 Ebenezer Rd, Suite 110, Rock Hill, SC 29732-3421 | 2008-07-29 |
| 1083874036 | Jonathan M Robinson | Optometrist | 1565 Ebenezer Rd, Suite 100, Rock Hill, SC 29732-3421 | 2008-06-12 |
| 1649456476 | Gary L. Stone | Technician/Technologist | 1565 Ebenezer Rd, Rock Hill, SC 29732-3421 | 2008-01-10 |
| 1881741239 | Rock Hill Eye Clinic, Pa | Technician/Technologist | 1565 Ebenezer Rd, Rock Hill, SC 29732-3421 | 2007-01-05 |
| 1003873308 | Rock Hill Eye Clinic, P.a. | Ophthalmology | 1565 Ebenezer Rd, Rock Hill, SC 29732-3421 | 2006-04-28 |
| 1508833690 | Parmann Group, Pa | Otolaryngology | 1565 Ebenezer Rd, Suite 110, Rock Hill, SC 29732-1806 | 2006-03-07 |
| 1811970478 | Jonathan C Hicklin | Ophthalmology | 1565 Ebenezer Rd, Rock Hill, SC 29732-1806 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| 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 |
|---|---|---|---|---|
| 1679174007 | Premier Transit Solutions, LLP | Durable Medical Equipment & Medical Supplies | 2025 Ebenezer Rd Ste J5, Rock Hill, SC 29732-1079 | 2020-11-03 |
| 1841812252 | Yolanda Yvonne Ervin | Durable Medical Equipment & Medical Supplies | 1030 Oakland Ave Ste 104, Rock Hill, SC 29732-3074 | 2020-05-08 |
| 1992288740 | Unique Boutique Inc | Durable Medical Equipment & Medical Supplies | 125 S Herlong Ave Ste 4, Rock Hill, SC 29732-1100 | 2018-09-07 |
| 1639681752 | Studio Glamour Hair Salon & Restoration Center | Durable Medical Equipment & Medical Supplies | 425 Dave Lyle Blvd S, Rock Hill, SC 29730-4402 | 2017-10-30 |
| 1275937104 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1225 Cherry Rd, Rock Hill, SC 29732-2507 | 2014-10-21 |
| 1851716062 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 2186 Cherry Rd Ste 101, Rock Hill, SC 29732-3282 | 2014-02-25 |
| 1750671681 | Thomas Olson | Durable Medical Equipment & Medical Supplies | 724 Arden Ln Ste 200, Rock Hill, SC 29732-3257 | 2011-04-12 |
| 1982906129 | E&m Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 142 S Cherry Rd, Rock Hill, SC 29732-3400 | 2010-11-20 |
| 1902131576 | Jessica Inez Spatz | Durable Medical Equipment & Medical Supplies | 2316 Nuthatch Dr, Rock Hill, SC 29732-8084 | 2009-10-14 |
| 1417184334 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4875 Old York Rd, Rock Hill, SC 29732-8127 | 2009-06-18 |
| Find all providers in ROCK HILL | ||||
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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.