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PREMIUM MEDICAL SUPPLY LLC
NPI 1497222558
Durable Medical Equipment & Medical Supplies in Rock Hill, SC

Active since October 26, 2018
1565 EBENEZER RD, STE 106, ROCK HILL, SC 29732(803) 666-0077 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 15, 2020, Feb 27, 2019, Feb 15, 2019 and 1 more (4 updates tracked since 2018).

About Premium Medical Supply Llc NPPES

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

PREMIUM MEDICAL SUPPLY LLC (NPI 1497222558) is a healthcare organization registered as a durable medical equipment & medical supplies in Rock Hill, South Carolina and active in the NPI registry since October 2018. The organization lists Zinaida Goryacheva, Owner, as its authorized official.

NPPES Registry Identity

NPI1497222558
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePREMIUM MEDICAL SUPPLY LLC
Location Address1565 EBENEZER RD, STE 106Rock Hill, SC 29732
Mailing Address1565 Ebenezer Rd, Ste 106Rock Hill, SC 29732 · (803) 620-4482
Phone(803) 666-0077
Organization SubpartNo
Authorized OfficialZinaida GoryachevaOwner · (803) 666-0077
Enumeration DateOctober 26, 2018
Last NPPES UpdateJanuary 15, 20204 updates tracked since enumeration
✔ NPI 1497222558 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.

1565 EBENEZER RD, Rock Hill, SC 29732
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Other Providers at the Same Location NPPES 12

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

MR. L D BARTEL MD
Ophthalmology
1565 EBENEZER RD
ROCK HILL, SC 29732
York County (803) 328-0168
GARY L. STONE OPTICIAN
Technician/Technologist (Optician)
1565 EBENEZER RD
ROCK HILL, SC 29732
York County (803) 327-3111
DR. AMANDA PATTERSON SCOBEY AU.D.
Audiologist
1565 EBENEZER RD, SUITE 110
ROCK HILL, SC 29732
York County (803) 327-4000
MR. JONATHAN C HICKLIN MD
Ophthalmology
1565 EBENEZER RD
ROCK HILL, SC 29732
York County (803) 328-0168
PATRICK MICHAEL HULL L.C.S.W., LISW-CP
Social Worker (Clinical)
1565 EBENEZER RD, SUITE 134
ROCK HILL, SC 29732
York County (803) 370-9084
PARMANN GROUP, PA
Otolaryngology
1565 EBENEZER RD, SUITE 110
ROCK HILL, SC 29732
York County (803) 327-4000
ROCK HILL EYE CLINIC, PA
Technician/Technologist (Optician)
1565 EBENEZER RD
ROCK HILL, SC 29732
York County (803) 327-3111
ENSURE HOME CARE OF SOUTH CAROLINA
Home Health
1565 EBENEZER RD, SUITE 140
ROCK HILL, SC 29732
York County (803) 230-3415

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 Premium Medical Supply LLC's NPI number?

The NPI number for Premium Medical Supply LLC is 1497222558. It was assigned to this organization in the NPPES registry on October 26, 2018.

Where is Premium Medical Supply LLC located?

Premium Medical Supply LLC is located at 1565 Ebenezer Rd Ste 106, Rock Hill, SC 29732. The listed phone number is (803) 666-0077.

What is Premium 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 Premium Medical Supply LLC was last updated on January 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.