Pacific Medical Equipment and Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PACIFIC MEDICAL EQUIPMENT AND SUPPLIES INC

Practice address

2140 W 95TH St
Chicago, IL 60643-1019

Phone

(773) 238-3440

Fax

(773) 238-3450

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Samuel E Okoro

Title

Director of Operations

Phone

(773) 238-3440

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1376689612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431019",
            "telephone_number": "773-238-3440",
            "fax_number": "773-238-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431019",
            "telephone_number": "773-238-3440",
            "fax_number": "773-238-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MEDICAL EQUIPMENT AND SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "773-238-3440"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001635323",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suvidya Lakshmi Pachigolla, MD
• Lauren M Pachman, MD
• Shannon Pachnik
• Catherine Louise Pacholski Tomaka, MS, CPNP
• Pacific Home Health Care, Inc.
• Mikala Pacifique, MD
• Michael Pacini, PHARM D
• Cara Pacione, MSW, LCSW
• Bon Gamiao Pacis, PT
• Michele Packard, LCSW

• Durable Medical Equipment & Medical Supplies in Chicago, IL
• Providers in Chicago, 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 Aug 10, 2011; 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.