Promise Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20148164 Issued in AZ

Legal business name

PROMISE MEDICAL INC

Practice address

3002 N Arizona Ave Ste 9
Chandler, AZ 85225-7158

Phone

(480) 632-5123

Fax

(480) 632-5124

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Oluyemisi Esther Olusa, RN

Title

President

Phone

(480) 632-5123

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144385170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 N ARIZONA AVE STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257158",
            "telephone_number": "480-632-5123",
            "fax_number": "480-632-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 N ARIZONA AVE STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257158",
            "telephone_number": "480-632-5123",
            "fax_number": "480-632-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLUSA",
        "authorized_official_first_name": "OLUYEMISI",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-632-5123",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "20148164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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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 Aug 22, 2020; 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.