Pacific, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

42-39832-0000 Issued in CO

Legal business name

PACIFIC, INC.

Doing business as

Pacific Medical Supply

Practice address

1595 Harlan St
Lakewood, CO 80214-1535

Phone

(303) 237-0941

Fax

(303) 237-0942

NPI assigned

Feb 21, 2007

Last updated

Aug 22, 2020By 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

Mrs. Fatemeh Panahi, RN BSN

Title

President

Phone

(303) 377-8833

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pacific Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871638023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 HARLAN ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141535",
            "telephone_number": "303-237-0941",
            "fax_number": "303-237-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 HARLAN ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141535",
            "telephone_number": "303-237-0941",
            "fax_number": "303-237-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANAHI",
        "authorized_official_first_name": "FATEMEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-377-8833",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "42-39832-0000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77601319",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oscar Leonel Pacas
• Tara Pace, DPT
• Michael Pacheco
• Odessa Pacheco
• Pacific Limo LLC
• Maia Sunflower Padberg
• Elizabeth Jayne Paddock
• Madeline Elizabeth Paddock, LPCC
• Morgan Padera
• Reina Pagaduan

• Durable Medical Equipment & Medical Supplies in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• 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.