PACIFIC FOOTWEAR COMPANY, INC.
NPI 1104148741
Durable Medical Equipment & Medical Supplies - Customized Equipment in Peoria, AZ
NPI Status: Active since February 24, 2010
Contact Information
13660 N 94TH DR
SUITE F-2
PEORIA, AZ
ZIP 85381
Phone: (623) 302-9396
Fax: (623) 302-9397
- Organization
- Durable Medical Equipment & Medical Supp...
- Customized Equipment
About PACIFIC FOOTWEAR COMPANY, INC.
This page provides the complete NPI Profile along with additional information for Pacific Footwear Company, Inc., a provider established in Peoria, Arizona operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1104148741 assigned on February 2010. The practitioner's primary taxonomy code is 332BC3200X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1104148741
- Provider Legal Name
- PACIFIC FOOTWEAR COMPANY, INC.
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 13660 N 94TH DR SUITE F-2 PEORIA, AZ 85381
- Location Phone
- (623) 302-9396
- Location Fax
- (623) 302-9397
- Mailing Address
- 10240 SW NIMBUS AVE SUITE L1 PORTLAND, OR 97223
- Mailing Phone
- (503) 524-9656
- Mailing Fax
- (623) 302-9397
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-24-2010
- Last Update Date
- 04-22-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies Customized Equipment
- Taxonomy Code
- 332BC3200X
- Type
- Suppliers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 335E00000X | Suppliers | Prosthetic/Orthotic Supplier |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104148741, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
PEORIA, AZ 85381
PEORIA, AZ 85381
PEORIA, AZ 85381
PEORIA, AZ 85381
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104148741, enumerated as an "organization" on February 24, 2010.
The provider is located at 13660 N 94TH DR SUITE F-2 PEORIA, AZ 85381 and the phone number is (623) 302-9396.
Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.
