OrganizationActive
Kanawha Medical Supply, Inc.
NPI 1629133533 · Customized Equipment (DME) · Richmond, VA
Kanawha Medical Supply, Inc. is a Customized Equipment (DME) organization in Richmond, VA (NPI 1629133533).
Provider details
- NPI number
- 1629133533
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Dyane Pergerson, Vice President(804) 330-5743
- License
- 0206008452 (VA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7009 Forest Hill Ave
Richmond, VA 23225-1607
Phone: (804) 330-5743
Fax: (804) 330-7149
Street-level locationGet directions
Mailing address
7009 Forest Hill Ave
Richmond, VA 23225-1607
Registry dates
- Enumerated
- 2006-12-22
- Last updated
- 2020-08-22
Frequently asked questions
- What is Kanawha Medical Supply, Inc.'s NPI number?
- Kanawha Medical Supply, Inc.'s National Provider Identifier (NPI) is 1629133533, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kanawha Medical Supply, Inc.?
- Kanawha Medical Supply, Inc. is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Kanawha Medical Supply, Inc. located?
- Kanawha Medical Supply, Inc.'s practice location on file with NPPES is 7009 Forest Hill Ave, Richmond, VA 23225-1607.
- What is Kanawha Medical Supply, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Kanawha Medical Supply, Inc. is (804) 330-5743.
- Who is the authorized official for Kanawha Medical Supply, Inc.?
- The authorized official listed on Kanawha Medical Supply, Inc.'s NPPES record is Dyane Pergerson, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kanawha Medical Supply, Inc.'s NPI active?
- Yes — Kanawha Medical Supply, Inc.'s NPI (1629133533) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.