Organization Active NPI

Noko Medical Supply Company

  • Nursing Facility Supplies (DME)
  • Glendale, AZ
National Provider Identifier
1497997308
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
Legal business name
NOKO MEDICAL SUPPLY COMPANY
Practice address
5060 W Bethany Home Rd Ste 4
Glendale, AZ 85301-5269
Phone
(623) 847-7979
Fax
(623) 847-7987
NPI assigned
Mar 25, 2009
Organization subpart
Yes
Parent organization
NOKO MEDICAL COMPANY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Dr. Columbus E. Okon Jr.
Title
President
Phone
(623) 847-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X Primary

Addresses

Primary practice location

5060 W Bethany Home Rd Ste 4
Glendale, AZ 85301-5269

Mailing address

5060 W Bethany Home Rd Ste 4
Glendale, AZ 85301-5269
Phone (623) 847-7979

National Provider Directory

National Provider Directory
Part of
Noko Medical Supply Company

Locations

5060 W Bethany Home Rd
Ste 4
Glendale, AZ 85301
Phone (623) 847-7979

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1497997308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 W BETHANY HOME RD STE 4",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853015269",
            "telephone_number": "623-847-7979",
            "fax_number": "623-847-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 W BETHANY HOME RD STE 4",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853015269",
            "telephone_number": "623-847-7979",
            "fax_number": "623-847-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOKO MEDICAL SUPPLY COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOKO MEDICAL COMPANY INC.",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "OKON",
        "authorized_official_first_name": "COLUMBUS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-847-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.