=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750256616
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASAP MEDICAL SUPPLY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/09/2025
-----------------------------------------------------
Last Update Date | 02/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 211 E MAIN ST STE 3
-----------------------------------------------------
City | BROWNSBURG
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46112-1256
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-520-3544
-----------------------------------------------------
Fax | 317-215-7010
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 211 E MAIN ST STE 3
-----------------------------------------------------
City | BROWNSBURG
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46112-1256
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-520-3544
-----------------------------------------------------
Fax | 317-215-7010
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. MICHAEL PENN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 317-520-3544
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------