LODI SICK ROOM SUPPLY INC (NPI# 1417978065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417978065 |
| Entity Type | Organization |
| Organization Name | LODI SICK ROOM SUPPLY INC |
| Practice Address |
340 S Fairmont Ave Lodi CA 95240-3802 |
| Practice Telephone | 2093693641 |
| Practice Fax Number | 2093694618 |
| Mailing Telephone | 2093693641 |
| Mailing Fax Number | 2093694618 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JUDY CANEPA (PRESIDENT) |
| Authorized Official Telephone | 2093693641 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | ZZZ49755Z | CA | Suppliers |
| X | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
ZZZ49755Z | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ49755Z | 05 |
| Street Address |
340 S FAIRMONT AVE |
| City | LODI |
| State | CA |
| Zip Code | 95240-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034991 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1139 E. Kettleman Lane, Suite 101, Lodi, CA 95240 | 2020-02-07 |
| 1548747082 | Gill and Patel Dental Corporation | Dentist | 2610 Reynolds Ranch Pkwy, Ste 100, Lodi, CA 95240 | 2018-07-27 |
| 1629511308 | Jose Daniel Garcia | Licensed Vocational Nurse | 12755 Ca-88, Lodi, CA 95240 | 2016-11-29 |
| 1104372754 | Jocelyn Janel Shilue | Specialist/Technologist | 705 Brandywine Drive, Lodi, CA 95240 | 2016-09-01 |
| 1750735965 | Natharchia R Peoples | Counselor | 9150 Ca-12, Lodi, CA 95240 | 2016-04-14 |
| 1891189403 | Valley Community Couseling Services | Case Management | 1300 W. Lodi Ste G-2, Stockton, CA 95240 | 2015-03-20 |
| 1114317195 | Carol Kooyman | Speech-Language Pathologist | 831 So. Lee Ave., Lodi, CA 95240 | 2015-01-29 |
| 1730514464 | Richard Barry Sirard | Pharmacist | 520 S Cherokee Lane, Lodi, CA 95240 | 2013-09-12 |
| 1740622570 | Joshlynn Uribe | Marriage & Family Therapist | 13520 E Live Oak Rd, Lodi, CA 95240 | 2013-07-22 |
| 1902172406 | Sital Singh | Internal Medicine | 999 S Fairmont Ave Ste 125, Lodi, CA 95240 | 2012-03-29 |
| Find all providers in zip 95240 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275076960 | Health Innovations Unlimited, Inc. | Durable Medical Equipment & Medical Supplies | 80 Industrial Rd, Lodi, NJ 07644-2608 | 2016-11-29 |
| 1922465087 | Pacific Surgical Corp. | Durable Medical Equipment & Medical Supplies | 1110 W. Kettleman Ln., Suite 21, Lodi, CA 95240-6047 | 2016-01-20 |
| 1851661565 | Bennett Medical Services Inc | Durable Medical Equipment & Medical Supplies | 1812 W Kettleman Ln, Ste 3, Lodi, CA 95242-4209 | 2012-01-11 |
| 1679650337 | Ehlers Holdings Inc | Durable Medical Equipment & Medical Supplies | 217 N Sacramento St, Lodi, CA 95240-2131 | 2006-11-01 |
| 1235248691 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 520 West Lodi Avenue, Avenue Plaza, Lodi, CA 95240-3497 | 2006-08-30 |
| 1447265434 | Walgreen Eastern Co, Inc | Durable Medical Equipment & Medical Supplies | 20 Arnot St, Lodi, NJ 07644 | 2006-07-29 |
| 1881609162 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 75 N Ham Ln, Lodi, CA 95242-2700 | 2006-07-29 |
| 1992728299 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 2355 W Kettleman Ln, Lodi, CA 95242-4120 | 2006-07-26 |
| 1568480549 | Judy Mae Melcher | Durable Medical Equipment & Medical Supplies | 1213 W Lockeford St, Lodi, CA 95240-1635 | 2006-07-17 |
| 1568489813 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1601 S Lower Sacramento Rd, Lodi, CA 95242-9762 | 2006-07-16 |
| Find all providers in LODI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.