Organization Active NPI

Sonoran Medical Supplies, LLC Dba Maddox Medical LLC

Doing business as Maddox Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Coolidge, AZ
National Provider Identifier
1801470612
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SONORAN MEDICAL SUPPLIES, LLC DBA MADDOX MEDICAL LLC
Doing business as
Maddox Medical LLC
Practice address
1044 N Arizona Blvd
Coolidge, AZ 85128-3727
Phone
(480) 256-8871
NPI assigned
May 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Gus Pantelides
Title
Owner
Phone
(480) 256-8871

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

1044 N Arizona Blvd
Coolidge, AZ 85128-3727

Mailing address

1044 N Arizona Blvd
Coolidge, AZ 85128-3727

Other names 1

  • Maddox Medical LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1044 N Arizona Blvd
Coolidge, AZ 85128
Phone (480) 256-8871

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1801470612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 N ARIZONA BLVD",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851283727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N ARIZONA BLVD",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851283727",
            "telephone_number": "480-256-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN MEDICAL SUPPLIES, LLC DBA MADDOX MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "PANTELIDES",
        "authorized_official_first_name": "GUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-256-8871"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maddox Medical LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coolidge, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.