NAICS 456199 Quarterly Industry Report
All Other Health and Personal Care Retailers
Comprehensive industry research for valuation professionals, business owners, buyers, and lenders
NAICS Code: 456199Sector: 45Updated: Q1 2026
About This Report
This NAICS 456199 industry report compiles data from the U.S. Census Bureau[4] retail trade surveys, Bureau of Labor Statistics[5] employment statistics for health and personal care retail workers, and Small Business Administration[6] size standard tables. Fair Market Value researchers integrate these federal sources with CMS durable medical equipment supplier data and state licensing records to produce quarterly updates. The NAICS 456199 report tracks employment trends, revenue patterns, and reimbursement changes specific to specialty health and personal care retailing.
Industry Definition & Overview
All Other Health and Personal Care Retailers (NAICS 456199) encompasses establishments primarily engaged in retailing specialized health and personal care merchandise not classified elsewhere in the health and personal care subsector. Hearing aid retailers, convalescent supply stores, home medical equipment retailers, and other specialty health product shops fall within this classification. These businesses serve consumers with specific medical, mobility, or wellness needs that mainstream drugstores and department stores do not adequately address.
The U.S. Census Bureau[4] excludes pharmacies (456110), cosmetics retailers (456120), optical goods stores (456130), and food supplement retailers (456191) from this classification. What remains is a diverse collection of specialty health retailers. Hearing aid dispensers represent one of the largest segments, particularly as aging demographics increase demand for amplification devices. Home medical equipment stores sell wheelchairs, walkers, hospital beds, oxygen equipment, and other durable medical products to consumers and caregivers.
Insurance reimbursement plays a variable role depending on product category. Hearing aids gained Medicare coverage under recent federal legislation, while many home medical equipment purchases involve Medicare Part B or private insurance billing. Retail operations must navigate complex reimbursement rules, supplier accreditation requirements, and product safety standards that differ by state and product category. Over-the-counter hearing aid sales, authorized by federal regulation, have opened new retail channels beyond traditional audiologist-dispensed models.
What's Included in This Industry
- Retailing hearing aids and assistive listening devices through specialty stores
- Selling convalescent supplies, sickroom equipment, and home health care products
- Operating home medical equipment retail stores for wheelchairs, walkers, and mobility aids
- Retailing orthopedic braces, supports, and therapeutic devices to consumers
- Selling incontinence products and personal hygiene supplies through specialty retailers
- Operating medical supply retail stores for ostomy, wound care, and respiratory products
- Retailing therapeutic massage equipment and wellness devices
- Selling electric personal care and grooming appliances through health-focused retailers
- Operating specialty bath safety and accessibility product retail stores
- Retailing compression hosiery, diabetic supplies, and other specialized health products
NAICS Classification Hierarchy
| Level | Description | Code |
|---|---|---|
| Subsector | Health and Personal Care Retailers | 456 |
| Industry Group | Health and Personal Care Retailers | 4561 |
| NAICS Industry | Other Health and Personal Care Retailers | 45619 |
| National Industry | All Other Health and Personal Care Retailers | 456199 |
Related NAICS Codes
| Code | Description | Relationship |
|---|---|---|
| 456110 | Pharmacies and Drug Retailers | Pharmacies sell some durable medical equipment and health supplies alongside prescription drugs, competing with specialty health retailers on overlapping product lines |
| 456130 | Optical Goods Retailers | Optical goods retailers serve a similar specialty health retail function, selling prescribed medical devices through dedicated retail formats with trained fitting staff |
| 339113 | Surgical Appliance and Supplies Manufacturing | Surgical and medical instrument manufacturing produces the durable medical equipment, mobility aids, and therapeutic devices that specialty health retailers purchase and sell |
| 339114 | Dental Equipment and Supplies Manufacturing | Dental equipment and supplies manufacturing produces oral care devices and products sold through health and personal care retail channels |
| 339920 | Sporting and Athletic Goods Manufacturing | Sporting and athletic goods manufacturing produces therapeutic and rehabilitation equipment that crosses over into health retail product categories |
| 621399 | Offices of All Other Miscellaneous Health Practitioners | Offices of all other miscellaneous health practitioners including audiologists generate referrals and prescriptions that direct consumers to hearing aid and medical supply retailers |
SBA Lending Summary
1,024
Total SBA Loans
$292.9M
Total Loan Volume
$286K
Average Loan Size
10 yrs
Average Loan Term
10.41%
Average Interest Rate
7,544
Jobs Supported
Source: SBA 7(a) Program Data, U.S. Small Business Administration — FY 2025[3]
Key Insight: The Small Business Administration[7] sets the size standard for NAICS 456199 at $9.5 million in average annual receipts. Independent hearing aid retailers, home medical equipment stores, and specialty health product shops below this threshold qualify as small businesses. SBA 7(a) loans[8] provide financing for inventory, diagnostic equipment, and store operations. The SBA 504 program[9] supports real estate purchases and major capital investments for owner-operated health product retail locations.
Top SBA Lenders
| # | Lender | Loans | Volume | Avg Loan |
|---|---|---|---|---|
| 1 | Northeast Bank | 232 | $48.2M | $208K |
| 2 | First Internet Bank of Indiana | 8 | $25.4M | $3.2M |
| 3 | FinWise Bank | 8 | $22.4M | $2.8M |
| 4 | The Huntington National Bank | 136 | $18.1M | $133K |
| 5 | Newtek Bank, National Association | 64 | $14.8M | $231K |
Frequently Asked Questions
Common questions about this industry.
What businesses fall under NAICS 456199?
NAICS 456199 covers hearing aid retailers, home medical equipment stores, convalescent supply shops, and other specialty health product retailers not classified under pharmacies, cosmetics, optical, or supplement codes. The U.S. Census Bureau[4] provides the official industry scope and exclusions.
How does NAICS 456199 differ from pharmacies?
Pharmacies (456110) primarily dispense prescription medications and carry health supplies as secondary products. NAICS 456199 retailers specialize in non-drug health products like hearing aids, mobility equipment, and convalescent supplies. The Census Bureau classification[10] separates these distinct retail functions.
What is the SBA size standard for NAICS 456199?
The SBA sets the small business size standard at $9.5 million in average annual receipts for NAICS 456199. Most independent hearing aid and medical supply retailers operate well below this level. Standards are published in the SBA table of size standards[6].
Which NAICS codes relate most closely to 456199?
Key related codes include 456110 for pharmacies, 456130 for optical retailers, 339113 for medical instrument manufacturers, and 621399 for health practitioners like audiologists. These codes represent different stages in the specialty health product supply and referral chain.
What industries interact with specialty health retailers?
Medical device manufacturers (339113) supply inventory, audiologists and health practitioners (621399) generate referrals, health insurers (524114) process reimbursements, and pharmacies (456110) compete in overlapping product categories. Each relationship affects sourcing, revenue, and customer acquisition.
What specific activities does NAICS 456199 cover?
Covered activities include retailing hearing aids, home medical equipment, convalescent supplies, orthopedic supports, incontinence products, respiratory equipment, and other specialized health items. Fitting services and product consultation are part of normal operations. The Census definition[4] details the complete scope.
Can medical supply store owners get SBA loans?
Specialty health retailers with receipts below $9.5 million qualify for SBA 7(a) loans for inventory, equipment, and operations. The 504 program funds real estate and major capital investments. Details are available at the SBA funding programs page[11].
Where are specialty health and personal care retailers concentrated?
These retailers concentrate in areas with older populations, including Florida, Arizona, and retirement communities throughout the Sun Belt. Metropolitan areas with large medical centers also support clusters of home medical equipment stores and hearing aid retailers. States with higher Medicare enrollment tend to have more specialty health retail establishments.
Sources & References
Government datasets and editorial sources used in this report.
- [1]U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages bls.gov
- [2]U.S. Census Bureau, Economic Census census.gov
- [3]U.S. Small Business Administration, SBA 7(a) Loan Program Data data.sba.gov
- [4]U.S. Census Bureau census.gov
- [5]Bureau of Labor Statistics bls.gov
- [6]Small Business Administration sba.gov
- [7]Small Business Administration sba.gov
- [8]SBA 7(a) loans sba.gov
- [9]SBA 504 program sba.gov
- [10]Census Bureau classification census.gov
- [11]SBA funding programs page sba.gov
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