Organization Active NPI

Pure Medical Inc

  • Customized Equipment (DME)
  • Milwaukee, WI
National Provider Identifier
1538933270
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
PURE MEDICAL INC
Practice address
10437 W Innovation Dr Ste B7
Milwaukee, WI 53226-4879
Phone
(414) 928-4855
Fax
(414) 928-5315
NPI assigned
Nov 13, 2023
Last updated
Nov 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Mr. Thomas Martin Stocco
Title
Co-Founder, Registered Agent
Phone
(414) 732-6515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

10437 W Innovation Dr Ste B7
Milwaukee, WI 53226-4879

Mailing address

10437 W Innovation Dr Ste B7
Milwaukee, WI 53226-4879
Phone (414) 928-4855

Other identifiers 1

IdentifierTypeStateIssuer
1033775OtherWISTATE REGISTRATION

National Provider Directory

National Provider Directory

Locations

10437 W Innovation Dr
Ste B7
Milwaukee, WI 53226
Phone (414) 928-4855

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1538933270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10437 W INNOVATION DR STE B7",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264879",
            "telephone_number": "414-928-4855",
            "fax_number": "414-928-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10437 W INNOVATION DR STE B7",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264879",
            "telephone_number": "414-928-4855",
            "fax_number": "414-928-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "STOCCO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "CO-FOUNDER, REGISTERED AGENT",
        "authorized_official_telephone_number": "414-732-6515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE REGISTRATION",
            "identifier": "1033775",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.