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INGRAM MEDICAL
NPI 1679859169
Durable Medical Equipment & Medical Supplies in Sandy, UT

Active since October 27, 2011
9883 S 500 W, SANDY, UT 84070(877) 577-7767(801) 727-0092 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ingram Medical NPPES

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

INGRAM MEDICAL (NPI 1679859169) is a healthcare organization registered as a durable medical equipment & medical supplies in Sandy, Utah and active in the NPI registry since October 2011. The organization lists Robert Rose, Coo, as its authorized official.

NPPES Registry Identity

NPI1679859169
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMEDSOURCE MEDICAL, LLC
Location Address9883 S 500 WSandy, UT 84070-2561
Mailing Address9883 S 500 WSandy, UT 84070-2561 · (877) 577-7767 · Fax (801) 727-0092
Phone(877) 577-7767
Fax(801) 727-0092
Organization SubpartNo
Authorized OfficialRobert RoseCoo · (877) 577-7767
Enumeration DateOctober 27, 2011
✔ NPI 1679859169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in UT · 8119067-1714
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.
9883 S 500 W, Sandy, UT 84070
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Other Names 1

Doing Business AsIngram Medical

Other Identifiers 1

Other4612138Ncpdp Provider Identification Number

Other Providers at the Same Location NPPES 3

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

NEW LIFE PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
9883 S 500 W
SANDY, UT 84070
Salt Lake County (801) 716-7200
MEDSOURCE RX PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
9883 S 500 W
SANDY, UT 84070
Salt Lake County (801) 727-1979
EVEREST PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
9883 S 500 W
SANDY, UT 84070
Salt Lake County (801) 727-1964

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 Medsource Medical, LLC's NPI number?

The NPI number for Medsource Medical, LLC is 1679859169. It was assigned to this organization in the NPPES registry on October 27, 2011. The provider is doing business as Ingram Medical.

Where is Medsource Medical, LLC located?

Medsource Medical, LLC is located at 9883 S 500 W, Sandy, UT 84070. The listed phone number is (877) 577-7767.

What is Medsource Medical, 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 Medsource Medical, LLC was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.