Organization Active NPI

Valley Regional Medical Supply

  • Parenteral & Enteral Nutrition Supplies (DME)
  • La Salle, IL
National Provider Identifier
1770680803
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
VALLEY REGIONAL MEDICAL SUPPLY
Practice address
518 3Rd St
La Salle, IL 61301-2402
Phone
(815) 223-4422
Fax
(815) 223-4429
NPI assigned
Sep 20, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Rachel A. Condron
Title
President
Phone
(815) 223-4422

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X IL Primary
Oxygen Equipment & Supplies (DME) 332BX2000X IL

Addresses

Primary practice location

518 3Rd St
La Salle, IL 61301-2402

Mailing address

518 3Rd St
PO Box 1134
La Salle, IL 61301-2402
Phone (815) 223-4422

National Provider Directory

National Provider Directory

Locations

518 3rd St
La Salle, IL 61301
Phone (815) 223-4422

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1770680803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 3RD ST",
            "address_2": "PO BOX 1134",
            "city": "LA SALLE",
            "state": "IL",
            "postal_code": "613012402",
            "telephone_number": "815-223-4422",
            "fax_number": "815-223-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 3RD ST",
            "city": "LA SALLE",
            "state": "IL",
            "postal_code": "613012402",
            "telephone_number": "815-223-4422",
            "fax_number": "815-223-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY REGIONAL MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CONDRON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-223-4422",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Salle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.