PRIME HEALTH SUPPLY LLC – NPI #1689503633
Durable Medical Equipment & Medical Supplies

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.

Health Care Provider Taxonomy Code for Durable Medical Equipment & Medical Supplies

PRIME HEALTH SUPPLY LLC is a DME supplier located in SAINT LOUIS, MO. NPPES recently assigned the NPI number 1689503633 to PRIME HEALTH SUPPLY LLC on May 15, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 332B00000X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIME HEALTH SUPPLY LLC below.

NPI Profile for
PRIME HEALTH SUPPLY LLC

NPI Number
1689503633
Enumeration Date

(about 3 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIME HEALTH SUPPLY LLC
Primary location
1023 EXECUTIVE PARKWAY DR STE 7
SAINT LOUIS, MO 63141-6323
Phone: (636) 252-0703 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHAGUFTA KHAN
OWNER
Phone: (636) 252-0703
Updated
Certification Date
May 15, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332B00000X
- Durable Medical Equipment & Medical Supplies (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.