Mercury Medical Logistics

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MERCURY MEDICAL LOGISTICS

Practice address

5060 N 19TH Ave
Ste 300-#19
Phoenix, AZ 85015

Phone

(602) 661-0679

NPI assigned

May 8, 2020

Organization subpart

No

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

Authorized official

Name

Jeff Blair

Title

Director

Phone

(602) 661-0679

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1962024273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 N TATUM BLVD",
            "address_2": "STE 300 #97551",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE",
            "address_2": "STE 300-#19",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85015",
            "telephone_number": "602-661-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURY MEDICAL LOGISTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-661-0679"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Merchant, M.D.
• Zeena Merchant, D.O.
• Heather Merchut
• Zina Mercil
• Troy Matthew Merckle, DPT, CSCS
• Mercy Care Trans LLC
• Mercy Cares LLC
• Mercy Center of Arizona
• Mercy Center of Arizona
• Mercy Favor and Grace Social Services

• Durable Medical Equipment & Medical Supplies in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.