Organization Active NPI

P.W Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1265610356
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
001 Issued in IL
Legal business name
P.W MEDICAL SUPPLIES, INC.
Practice address
951 W 68TH St
Chicago, IL 60621-1841
Phone
(773) 723-4755
Fax
(773) 723-4765
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Victor L Ware Sr.
Title
President
Phone
(773) 723-4755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 001 IL Primary

Addresses

Primary practice location

951 W 68TH St
Chicago, IL 60621-1841

Mailing address

951 W 68TH St
Chicago, IL 60621-1841
Phone (773) 723-4755

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265610356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 W 68TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606211841",
            "telephone_number": "773-723-4755",
            "fax_number": "773-723-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 W 68TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606211841",
            "telephone_number": "773-723-4755",
            "fax_number": "773-723-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.W MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-723-4755",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "001",
            "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 Jul 21, 2022; 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.