Polyclinic Pharmacy Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

POLYCLINIC PHARMACY INC.

Doing business as

A2Z DME

Practice address

9299 W Olive Ave
Ste 306
Peoria, AZ 85345

Phone

(602) 218-5223

Fax

(888) 341-9623

NPI assigned

Dec 17, 2008

Last updated

Feb 10, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

POLYCLINIC PHARMACY INC.As reported in NPPES

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

Authorized official

Name

Mr. Inderjit Singh Rakalla, R.PH.

Title

President

Phone

(602) 218-5223

Specialties & licenses 1

Addresses

Other names 1

• A2Z DME Doing business as

Tax ID family

Polyclinic Pharmacy2 organizations share this tax ID, including this one

Part of

Polyclinic Pharmacy

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Polyclinic Pharmacy Inc.

  • Pharmacy
  • Danville, IL
  • NPI 1255142311
  NPD tax ID

Locations

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1316183619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9299 W OLIVE AVE",
            "address_2": "STE 306",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85345",
            "telephone_number": "602-218-5223",
            "fax_number": "888-341-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9299 W OLIVE AVE",
            "address_2": "STE 306",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85345",
            "telephone_number": "602-218-5223",
            "fax_number": "888-341-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLYCLINIC PHARMACY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POLYCLINIC PHARMACY INC.",
        "enumeration_date": "2008-12-17",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "RAKALLA",
        "authorized_official_first_name": "INDERJIT",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-218-5223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A2Z DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Kay Poland, PA-C
• Lindsay Polk, PSY.D.
• Nino Demetrius Pollaccia, DDS
• Thomas Weldon Pollard, DO
• Stevan A Polus
• Shelby Poole
• Dorin T Popa, MD
• Catrina Popelier, MPH RN IBCLC
• Shawna Louise Porumb, RN
• Posh Dental Peoria PLLC (Desert Summit Dentistry)

• Oxygen Equipment & Supplies (DME) in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Oxygen Equipment & Supplies (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.