Organization Active NPI

Pearlcare Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Roselle, IL
National Provider Identifier
1104755784
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PEARLCARE MEDICAL SUPPLY LLC
Practice address
1350 Lake St Ste 1D
Roselle, IL 60172-3370
Phone
(630) 290-0396
NPI assigned
May 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Syed A Hashmi
Title
Owner
Phone
(630) 290-0396

Specialties & licenses 1

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

Addresses

Primary practice location

1350 Lake St Ste 1D
Roselle, IL 60172-3370

Mailing address

1350 Lake St Ste 1D
Roselle, IL 60172-3370
Phone (630) 290-0396

National Provider Directory

National Provider Directory

Locations

1350 Lake St
Ste 1D
Roselle, IL 60172
Phone (630) 290-0396

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1104755784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 LAKE ST STE 1D",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723370",
            "telephone_number": "630-290-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 LAKE ST STE 1D",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723370",
            "telephone_number": "630-290-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLCARE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "HASHMI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-290-0396"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.