Organization Active NPI

McKinley Care Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Anchorage, AK
National Provider Identifier
1023897485
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MCKINLEY CARE MEDICAL SUPPLIES
Doing business as
McKinley Care Medical Supplies
Practice address
337 E 4TH Ave Unit B
Anchorage, AK 99501-2664
Phone
(907) 268-6576
Fax
(907) 802-4374
NPI assigned
Sep 25, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MCKINLEY CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Dr. Jack M Pomerantz, MDNPI 1407842214
Title
Owner
Phone
(907) 206-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

337 E 4TH Ave Unit B
Anchorage, AK 99501-2664

Mailing address

4311 Constellation Ave Unit G53
Anchorage, AK 99517-2735
Phone (907) 206-1200

Other names 1

  • McKinley Care Medical Supplies Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McKinley Care LLC2 organizations share this tax ID, including this one
Part of
McKinley Care LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1023897485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 CONSTELLATION AVE UNIT G53",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995172735",
            "telephone_number": "907-206-1200",
            "fax_number": "907-802-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 E 4TH AVE UNIT B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012664",
            "telephone_number": "907-268-6576",
            "fax_number": "907-802-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINLEY CARE MEDICAL SUPPLIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCKINLEY CARE LLC",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "POMERANTZ",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-206-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKinley Care Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.