Mega Pep Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEGA PEP INC

Practice address

8320 Christiana Ave Apt 1W
Skokie, IL 60076-2944

Phone

(847) 649-6697

NPI assigned

Dec 21, 2023

Organization subpart

No

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

Authorized official

Name

Jalal Riyaz

Title

Ceo

Phone

(847) 649-6697

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1043089782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 CHRISTIANA AVE APT 1W",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762944",
            "telephone_number": "847-649-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 CHRISTIANA AVE APT 1W",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762944",
            "telephone_number": "847-649-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGA PEP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "RIYAZ",
        "authorized_official_first_name": "JALAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-649-6697"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.