Mercy Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

51476 Issued in CA

Legal business name

MERCY MEDICAL SUPPLY INC.

Doing business as

Mercy Medical & Diabetic Supply

Practice address

445 N Garey Ave
6B
Pomona, CA 91767-5422

Phone

(909) 397-7547

Fax

(909) 397-7549

NPI assigned

Jul 20, 2009

Last updated

Oct 31, 2011By 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

Risikatu O. Oyegoke

Title

Ceo

Phone

(909) 397-7547

Specialties & licenses 1

Addresses

Other names 1

• MERCY MEDICAL & DIABETIC SUPPLY Doing business as

Locations

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1952531303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 N GAREY AVE",
            "address_2": "6B",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675422",
            "telephone_number": "909-397-7547",
            "fax_number": "909-397-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 N GAREY AVE",
            "address_2": "6B",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675422",
            "telephone_number": "909-397-7547",
            "fax_number": "909-397-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "OYEGOKE",
        "authorized_official_first_name": "RISIKATU",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-397-7547"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "51476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY MEDICAL & DIABETIC SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isabel Brianna Mercado
• Jeremy Jacob Mercado
• Liliana Mercado
• Erin Norene Merchant, P.A.-C.
• Yvette Darlene Merchant, C.A.T.C.
• Shaun Meredith
• Ramanna Merla, MD
• Mesa Pharmacy Inc (Mesa Pharmacy VI)
• Mesa Pharmacy Inc (Mesa Pharmacy III)
• Briana Nicole Messerschmidt, MFTI

• Durable Medical Equipment & Medical Supplies in Pomona, CA
• Providers in Pomona, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.