NPIMap

Organization Active NPI

Kerry'S Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Glendale, AZ
National Provider Identifier
1710038799
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KERRY'S MEDICAL INC
Practice address
5605 W Northern Ave
Glendale, AZ 85301-1332
Phone
(623) 931-3434
Fax
(623) 931-3535
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Timothy Lane Milberger
Title
Vice President
Phone
(916) 374-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5605 W Northern Ave
Glendale, AZ 85301-1332

Mailing address

2204 W Capitol Ave
W Sacramento, CA 95691-2425
Phone (916) 374-0400

National Provider Directory

National Provider Directory
Tax ID family
Kerry'S Medical Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710038799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 W CAPITOL AVE",
            "city": "W SACRAMENTO",
            "state": "CA",
            "postal_code": "956912425",
            "telephone_number": "916-374-0400",
            "fax_number": "916-374-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 W NORTHERN AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011332",
            "telephone_number": "623-931-3434",
            "fax_number": "623-931-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY'S MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILBERGER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "916-374-0400",
        "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": []
}

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 Aug 22, 2020; 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.