NPI Code Details Logo

NPI 1598685885

NPI 1598685885 : ORTHOCARE MED SUPPLY INC : NORCROSS, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1598685885
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ORTHOCARE MED SUPPLY INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/17/2026
-----------------------------------------------------
    Last Update Date     |    07/17/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5304 HUNTER RIDGE LN 
-----------------------------------------------------
    City                 |    NORCROSS
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30092-3759
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    470-610-9397
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5304 HUNTER RIDGE LN 
-----------------------------------------------------
    City                 |    NORCROSS
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30092-3759
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     SAIKUMAR  SUNKU BALRAJ 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    470-610-9397
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.