Organization Active NPI

Nexmed Supply LLC

  • Multi-Specialty Clinic/Center
  • Chicago, IL
National Provider Identifier
1174436596
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NEXMED SUPPLY LLC
Practice address
4001 W Devon Ave Ste 334
Chicago, IL 60646-4526
Phone
(312) 434-0515
NPI assigned
Sep 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Shoaib Ahmed Mohammed
Title
Owner
Phone
(312) 434-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4001 W Devon Ave Ste 334
Chicago, IL 60646-4526

Mailing address

4001 W Devon Ave Ste 334
Chicago, IL 60646-4526
Phone (312) 434-0515

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1174436596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W DEVON AVE STE 334",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464526",
            "telephone_number": "312-434-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W DEVON AVE STE 334",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464526",
            "telephone_number": "312-434-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXMED SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "SHOAIB AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-434-0515"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.