Organization Active NPI

The Merra-Lee Shops Inc.

  • Durable Medical Equipment & Medical Supplies
  • Geneva, IL
National Provider Identifier
1255474060
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE MERRA-LEE SHOPS INC.
Practice address
17 S 3Rd St
Geneva, IL 60134-2232
Phone
(630) 232-0933
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Mr. Michael Simon
Title
President
Phone
(630) 232-2640

Specialties & licenses 1

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

Addresses

Primary practice location

17 S 3Rd St
Geneva, IL 60134-2232

Mailing address

15 S 3Rd St
Geneva, IL 60134-2232
Phone (630) 232-2640

Other names 1

  • She She Other name

National Provider Directory

National Provider Directory

Locations

15 S 3rd St
Geneva, IL 60134

17 S 3rd St
Geneva, IL 60134
Phone (630) 232-0933

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1255474060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S 3RD ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342232",
            "telephone_number": "630-232-2640",
            "fax_number": "630-232-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S 3RD ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342232",
            "telephone_number": "630-232-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MERRA-LEE SHOPS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-232-2640",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "She She",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.