VICTORY MEDICAL SUPPLY, LLC
NPI 1073134649
Durable Medical Equipment & Medical Supplies in American Fork, UT

Active since May 05, 2020
140 N 100 E, AMERICAN FORK, UT 84003(801) 770-0520(801) 770-0922 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Victory Medical Supply, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORY MEDICAL SUPPLY, LLC (NPI 1073134649) is a healthcare organization registered as a durable medical equipment & medical supplies in American Fork, Utah and active in the NPI registry since May 2020. The organization lists Nathan T Johns, President, as its authorized official.

NPPES Registry Identity

NPI1073134649
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameVICTORY MEDICAL SUPPLY, LLC
Location Address140 N 100 EAmerican Fork, UT 84003-1735
Mailing Address13894 S Bangerter Pkwy Ste 200Draper, UT 84020-5320 · (801) 770-0520 · Fax (801) 770-0922
Fax(801) 770-0922
Organization SubpartNo
Authorized OfficialNathan T JohnsPresident · (801) 770-0520
Enumeration DateMay 5, 2020
NPPES CertifiedMay 5, 2020
NPI 1073134649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
140 N 100 E, American Fork, UT 84003

Other Identifiers 1

Other626888500Dol Provider #

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
140 N 100 E
AMERICAN FORK, UT 84003
Home Health
140 N 100 E
AMERICAN FORK, UT 84003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victory Medical Supply, LLC's NPI number?

The NPI number for Victory Medical Supply, LLC is 1073134649. It was assigned to this organization in the NPPES registry on May 5, 2020.

Where is Victory Medical Supply, LLC located?

Victory Medical Supply, LLC is located at 140 N 100 E, American Fork, UT 84003. The listed phone number is (801) 770-0520.

What is Victory Medical Supply, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Victory Medical Supply, LLC was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.