Healthcare Provider Details

I. General information

NPI: 1891106985
Provider Name (Legal Business Name): FAMILY MEDICAL SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2014
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1697 S FEDERAL BLVD
DENVER CO
80219
US

IV. Provider business mailing address

1697 S FEDERAL BLVD
DENVER CO
80219
US

V. Phone/Fax

Practice location:
  • Phone: 720-216-1147
  • Fax: 720-216-1571
Mailing address:
  • Phone: 720-216-1147
  • Fax: 720-216-1571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: VIEN D PHAM
Title or Position: OWNER
Credential:
Phone: 720-216-1147