McCormick Medical Distribution, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MCCORMICK MEDICAL DISTRIBUTION, INC.

Practice address

635 Paradise Lane
Edmonds, WA 98020-4651

Phone

(425) 778-4421

Fax

(425) 776-2433

NPI assigned

Jul 6, 2006

Last updated

Apr 30, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

PFM MEDICAL, INC.As reported in NPPES

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

Authorized official

Name

Brian Farley

Title

Director of Finance/ Operations

Phone

(760) 758-8749

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• New Alliance of Independent

  dba Alliance Medical

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
  • NPI 1235248394

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1306878905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 PARADISE LANE",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204651",
            "telephone_number": "425-778-4421",
            "fax_number": "425-776-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 PARADISE LANE",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204651",
            "telephone_number": "425-778-4421",
            "fax_number": "425-776-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCORMICK MEDICAL DISTRIBUTION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PFM MEDICAL, INC.",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE/ OPERATIONS",
        "authorized_official_telephone_number": "760-758-8749"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "WA",
            "license": "BL009364",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Lee McCall
• Wren V McCallister, M.D.
• Peggy C McCartney, RN
• Richard McClelland, MD
• Rachel R McCluskey, ARNP
• Claude Oliver McCoy, M.D.
• Jacqueline A McCoy, ARNP MS
• Robert H McCoy, M.D.
• James A. McCullough, MD
• Connor Jaden McCullum-Zempel

• Durable Medical Equipment & Medical Supplies in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.