Chandler Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20161365 Issued in AZ

Legal business name

CHANDLER MEDICAL SUPPLY, INC.

Practice address

955 W Chandler Blvd
Suite 2
Chandler, AZ 85225-4906

Phone

(480) 917-0500

Fax

(480) 917-0600

NPI assigned

Jun 21, 2007

Last updated

Dec 19, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph Stephane Z. Mongu

Title

President

Phone

(480) 917-0500

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1013113794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 W CHANDLER BLVD",
            "address_2": "SUITE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852254906",
            "telephone_number": "480-917-0500",
            "fax_number": "480-917-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 W CHANDLER BLVD",
            "address_2": "SUITE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852254906",
            "telephone_number": "480-917-0500",
            "fax_number": "480-917-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "MONGU",
        "authorized_official_first_name": "JOSEPH STEPHANE",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-917-0500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "20161365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chandler Neurohospitalists, PLC
• Chandler Neurology & Sleep Disorders Associates PC
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• Durable Medical Equipment & Medical Supplies in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.