Pacific Durable Medical LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

PACIFIC DURABLE MEDICAL LLC

Practice address

2441 E Madison St
Phoenix, AZ 85034-2638

Phone

(602) 267-4871

Fax

(480) 302-5287

NPI assigned

Nov 12, 2014

Last updated

Nov 12, 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

Stephan Williams

Title

President

Phone

(602) 267-4871

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1821494246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 E BROADWAY",
            "address_2": "E #374",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83002",
            "telephone_number": "602-267-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 E MADISON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342638",
            "telephone_number": "602-267-4871",
            "fax_number": "480-302-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC DURABLE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-267-4871"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Maria Pacheco
• Joyce-Nicole Pachence, PA-C
• Sarah Lillian Pachtman, M.D.
• Pacific Biomedical Inc
• Pacific Dental Services Foundation
• Hope Elizabeth Pack, FNP
• Jennifer Lynn Pack, ACNP-BC
• Bruce Paul Packer, M.D.
• Jeffrey Packer, D.O.
• Spencer Terry Packer, DMD

• Customized Equipment (DME) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Customized Equipment (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.