Medela , Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDELA , INC.

Practice address

1101 Corporate Dr
McHenry, IL 60050-7006

Phone

(800) 435-8316

Fax

(815) 363-2487

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Carr Lane Quackenbush

Title

President

Phone

(800) 435-8316

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1285722090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 0160",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600510160",
            "telephone_number": "800-435-8316",
            "fax_number": "815-363-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CORPORATE DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507006",
            "telephone_number": "800-435-8316",
            "fax_number": "815-363-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDELA , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "QUACKENBUSH",
        "authorized_official_first_name": "CARR LANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-435-8316",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285722090",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM1269",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Rose McNett, DC
• Stephanie McNulty, RD
• Ashley McQuiston-Keil, PA-C
• Patricia Mears
• Medcor of Barrington, P.C.
• Adriana Medina
• Victor Manuel Medina, D.O.
• Gail Lynn Mehnert
• Meijer Great Lakes Limited Partnership (Meijer Pharmacy #218)
• Adrienne B Mejia, MD MPH

• Durable Medical Equipment & Medical Supplies in McHenry, IL
• Providers in McHenry, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.