Active NPI
Pegasus Airwave Inc.
- Durable Medical Equipment & Medical Supplies
- Pompano Beach, FL
National Provider Identifier
1710934757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1277
- Legal business name
- PEGASUS AIRWAVE INC.
- Practice address
- 1180 S.W. 36TH Ave.
Suite 103
Pompano Beach, FL 33069 - Phone
- (954) 975-6808
- Fax
- (954) 252-4210
- NPI assigned
- May 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lorrie A French
- Title
- Director of Operations
- Phone
- (954) 975-6808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1277 | FL | Primary |
Addresses
Primary practice location
1180 S.W. 36TH Ave.
Suite 103
Pompano Beach, FL 33069
Mailing address
1180 S.W. 36TH Ave.
Suite 103
Pompano Beach, FL 33069
Phone (954) 975-6808
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011388801 | Medicaid | TX | |
| 0897785 | Medicaid | OH | |
| 9038381 | Medicaid | WA | |
| DM0190 | Medicaid | SC | |
| 01169240 | Medicaid | NY | |
| 100473190A | Medicaid | IN | |
| 1532162 | Medicaid | MA | |
| 193026100 | Medicaid | MD | |
| 9607650 | Medicaid | AL | |
| 18340001 | Medicaid | AZ | |
| 2874553 | Medicaid | MI | |
| DME01951F | Medicaid | CA | |
| 004144325 | Medicaid | CT | |
| 08002180 | Medicaid | CO | |
| 25167400 | Medicaid | FL | |
| 00528668A | Medicaid | GA | |
| 9108122 | Medicaid | VA | |
| 9100192 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
1180 SW 36th Ave
Ste 103
Pompano Beach, FL 33069
Phone (954) 975-6808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225843200000",
"number": "1710934757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 S.W. 36TH AVE.",
"address_2": "SUITE 103",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "33069",
"telephone_number": "954-975-6808",
"fax_number": "954-252-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 S.W. 36TH AVE.",
"address_2": "SUITE 103",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "33069",
"telephone_number": "954-975-6808",
"fax_number": "954-252-4210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEGASUS AIRWAVE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2008-11-05",
"status": "A",
"authorized_official_last_name": "FRENCH",
"authorized_official_first_name": "LORRIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "954-975-6808",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "1277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011388801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0897785",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9038381",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DM0190",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01169240",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100473190A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1532162",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193026100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9607650",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18340001",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2874553",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME01951F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004144325",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08002180",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "25167400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00528668A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9108122",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9100192",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
- Ana M Pecanha, LMT
- Pediatric Care of Pompano, LLC
- Pediatrix Medical Group Florida Inc
- Pediatrix Medical Group of Florida, Inc
- Paula Ellen Peet, D.C.
- Pelvic Health Institute and Minimally Invasive Surgery PA
- Arlenys Pena Gutierrez, RN
- Alicia Joann Pena
- Gehan Pendlebury
- David John Pennell, AC,PHYS.,L.M.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.