Pharma Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

10425 Issued in IL

Legal business name

PHARMA MEDICAL SUPPLY INC

Practice address

970 Lake St Suite 109
Roselle, IL 60101

Phone

(630) 456-6501

NPI assigned

Mar 15, 2011

Organization subpart

No

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

Authorized official

Name

Miss Ashi Francis

Title

Clerk

Phone

(630) 456-6501

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1962700096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 LAKE ST STE 109",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723353",
            "telephone_number": "630-456-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 LAKE ST SUITE 109",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "60101",
            "telephone_number": "630-456-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMA MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "ASHI",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "630-456-6501",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "10425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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