Lodi Sick Room Supply Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

ZZZ49755Z Issued in CA

Legal business name

LODI SICK ROOM SUPPLY INC

Practice address

340 S Fairmont Ave
Lodi, CA 95240-3802

Phone

(209) 369-3641

Fax

(209) 369-4618

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Judy Canepa

Title

President

Phone

(209) 369-3641

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1417978065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 S FAIRMONT AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403802",
            "telephone_number": "209-369-3641",
            "fax_number": "209-369-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S FAIRMONT AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403802",
            "telephone_number": "209-369-3641",
            "fax_number": "209-369-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODI SICK ROOM SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CANEPA",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-369-3641"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "ZZZ49755Z",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "ZZZ49755Z",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ49755Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lodi Pain Clinic, Inc.
• Lodi Pharmacy Inc (Lodi Pharmacy)
• Lodi Pharmacy LLC (Lodi Pharmacy)
• Lodi Plaza Head & Neck Medical Assoc Inc
• Lodi Podiatry Group
• Lodi Skilled Nursing Services, Inc. (Fairmont Rehabilitation Hospital)
• Lodi Sleep Disorders Management Group LP
• Lodi Unified School District
• Lodi Urological Medical Group, Inc.
• Christopher Logoteta

• Customized Equipment (DME) in Lodi, CA
• Providers in Lodi, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.