Ike Ginis

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0062948 Issued in TX

Legal business name

IKE GINIS

Doing business as

Pheliyk Medical Supply

Practice address

777 S Central Expy
Suite 1B
Richardson, TX 75080-7411

Phone

(972) 699-7600

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Ike Ginis

Title

Ceo

Phone

(972) 699-7600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PHELIYK MEDICAL SUPPLY Doing business as

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1164458360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S CENTRAL EXPY",
            "address_2": "SUITE 1B",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807411",
            "telephone_number": "972-699-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S CENTRAL EXPY",
            "address_2": "SUITE 1B",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807411",
            "telephone_number": "972-699-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKE GINIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "GINIS",
        "authorized_official_first_name": "IKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-699-7600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0062948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154401702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154401701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHELIYK MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Richardson, TX
• Providers in Richardson, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.