Provider Demographics
NPI:1033096482
Name:FAMILY MEDICAL SUPPLY LLC
Entity type:Organization
Organization Name:FAMILY MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HADI
Authorized Official - Middle Name:
Authorized Official - Last Name:BSHARAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-726-6382
Mailing Address - Street 1:830 UNRUH AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-4830
Mailing Address - Country:US
Mailing Address - Phone:267-726-6382
Mailing Address - Fax:
Practice Address - Street 1:415 DAVISVILLE RD
Practice Address - Street 2:
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-2700
Practice Address - Country:US
Practice Address - Phone:267-726-6382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies