Arizona Medical Equipment & Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ARIZONA MEDICAL EQUIPMENT & SUPPLY LLC

Practice address

4225 W Glendale Ave
C106
Phoenix, AZ 85051-8194

Phone

(623) 266-7255

Fax

(623) 266-7254

NPI assigned

Sep 21, 2009

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

ARIZONA MEDICAL EQUIPMENT & SUPPLY LLCAs reported in NPPES

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

Authorized official

Name

Mr. Vivek Khanna

Title

Owner

Phone

(623) 266-7255

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AMES Other name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Arizona Medical Equipment & Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Prescott, AZ
  • NPI 1649284498

  0345442836

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Arizona Medical Equipment Supply LLC3 organizations share this tax ID, including this one

Part of

Arizona Medical Equipment Supply LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Arizona Medical Eqiupment and Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Prescott, AZ
  • NPI 1801900063
  NPD tax ID
• Arizona Medical Equipment & Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Prescott, AZ
  • NPI 1649284498
  NPD tax ID

Locations

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013241314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853110305",
            "telephone_number": "623-266-7255",
            "fax_number": "623-266-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 W GLENDALE AVE",
            "address_2": "C106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518194",
            "telephone_number": "623-266-7255",
            "fax_number": "623-266-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA MEDICAL EQUIPMENT & SUPPLY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA MEDICAL EQUIPMENT & SUPPLY LLC",
        "enumeration_date": "2009-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-266-7255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649284498",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Phoenix, AZ
• Providers in Phoenix, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.