Shalom DME Supplier Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20183915 Issued in AZ

Legal business name

SHALOM DME SUPPLIER INC.

Practice address

2611 N 7TH St
Phoenix, AZ 85006-1002

Phone

(602) 279-8066

Fax

(602) 274-6906

NPI assigned

Nov 21, 2007

Last updated

Nov 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Alisa Gherega

Title

President

Phone

(602) 279-8066

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1366623084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061002",
            "telephone_number": "602-279-8066",
            "fax_number": "602-274-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061002",
            "telephone_number": "602-279-8066",
            "fax_number": "602-274-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM DME SUPPLIER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "GHEREGA",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-279-8066",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "20183915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Latifah Shakir, RN
• Shakti Singh MD PC (Premier Gastro Care)
• Hazael Shakur
• Esther Shalamov, FNP
• Jacob Charles Shalkevich, MD
• Shalom Home Care LLC
• Shalom Treatment Center LLC
• Sham M Vengurlekar, MD, PC
• Rachel Weinstein Shamah, MS OTRL
• Younus Mohammed Khaleel Shamam

• Durable Medical Equipment & Medical Supplies in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.