Organization Active NPI

Male-Order Men'S Health LLC

  • Customized Equipment (DME)
  • Chicago, IL
National Provider Identifier
1912523564
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MALE-ORDER MEN'S HEALTH LLC
Practice address
710 N. Dearborn St.
Chicago, IL 60654
Phone
(800) 420-6927
Fax
(800) 420-6927
NPI assigned
Jun 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Fedja Temim, PHARMD
Title
Manager
Phone
(800) 420-6927

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

710 N. Dearborn St.
Chicago, IL 60654

Mailing address

710 N. Dearborn St.
Chicago, IL 60654
Phone (800) 420-6927

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.Male-Order.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1912523564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N. DEARBORN ST.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60654",
            "telephone_number": "800-420-6927",
            "fax_number": "800-420-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N. DEARBORN ST.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60654",
            "telephone_number": "800-420-6927",
            "fax_number": "800-420-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALE-ORDER MEN'S HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "TEMIM",
        "authorized_official_first_name": "FEDJA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "800-420-6927",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.Male-Order.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "710 N. Dearborn St.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.