NPI 1003911942
Family Medical Supply LLC
Practice location
- Address
- 4600 Main St STE 8, Shallotte, NC 28470-1899
- Phone
- (910) 755-7066
- Fax
- (910) 755-7068
- Mailing address
- 555 E North Ln STE 5075, Conshohocken, PA 19428-2490
Authorised official
- Name
- Wendy Russalesi
- Title
- Cco
- Phone
- (484) 246-9499
Registered specialties (4)
Oxygen Equipment & Supplies (DME)
Primary
Durable Medical Equipment & Medical Supplies
Customized Equipment (DME)
Parenteral & Enteral Nutrition Supplies (DME)
Registry record
- NPI
- 1003911942
- Entity type
- Organization
- NPI issued
- 14 Sep 2006
- Record last updated
- 30 Jun 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.