Arizona Medical Equipment & Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

C000771 Issued in AZ

Legal business name

ARIZONA MEDICAL EQUIPMENT & SUPPLY LLC

Practice address

3185 Clearwater Dr
Suite a
Prescott, AZ 86305-7119

Phone

(928) 771-9228

Fax

(928) 771-0376

NPI assigned

Jul 28, 2006

Last updated

Sep 23, 2014By 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

Vivek Khanna

Title

Ceo

Phone

(623) 266-7255

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Arizona Medical Equipment & Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1013241314

  0345442836

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Arizona Medical Eqiupment and Supply LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Arizona Medical Eqiupment and Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Prescott, AZ
  • NPI 1801900063
  NPD tax ID
• Arizona Medical Equipment & Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1013241314
  NPD tax ID

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1649284498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853110305",
            "telephone_number": "623-266-7255",
            "fax_number": "623-266-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 CLEARWATER DR",
            "address_2": "SUITE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057119",
            "telephone_number": "928-771-9228",
            "fax_number": "928-771-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA MEDICAL EQUIPMENT & SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-266-7255"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "888015906610",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "5517853",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "C000771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arizona Medical Eqiupment and Supply LLC
• Arizona Orthopedic Physical Therapy, PLLC
• Arizona Speech, Language, & Literacy, Inc.
• Arizona Support Services and Intensive Skills Training, Inc.
• Mary Armentrout
• Susan B Armstrong, LPC

• Durable Medical Equipment & Medical Supplies in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.