Oak Creek Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OAK CREEK MEDICAL SUPPLIES LLC

Practice address

7001 S Howell Ave Ste 200
Oak Creek, WI 53154-1413

Phone

(414) 877-1677

Fax

(414) 455-4602

NPI assigned

May 5, 2021

Last updated

May 5, 2021By 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

Mr. Omar Farah

Title

Owner

Phone

(414) 877-1677

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Said Aden

  • Non-emergency Medical Transport (VAN)
  • Milwaukee, WI
  • NPI 1629485982
  NPD

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1598349623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 S HOWELL AVE STE 200",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541413",
            "telephone_number": "414-877-1677",
            "fax_number": "414-455-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 S HOWELL AVE STE 200",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541413",
            "telephone_number": "414-877-1677",
            "fax_number": "414-455-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CREEK MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-877-1677",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.