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NICKES MEDICAL SUPPLY, LLC
NPI 1336781020
Durable Medical Equipment & Medical Supplies in Fairfield, CA

Active since October 14, 2019
461 SKYMASTER CIR, FAIRFIELD, CA 94535(915) 533-8870 Get Directions Write a Review

NPPES record last updated: October 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nickes Medical Supply, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICKES MEDICAL SUPPLY, LLC (NPI 1336781020) is a healthcare organization registered as a durable medical equipment & medical supplies in Fairfield, California and active in the NPI registry since October 2019. The organization lists Ngozi Kathleen Austin-eleje, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1336781020
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameNICKES MEDICAL SUPPLY, LLC
Location Address461 SKYMASTER CIRFairfield, CA 94535-1909
Mailing Address2820 N Stanton StEl Paso, TX 79902-2509 · (915) 533-8870 · Fax (915) 533-0078
Phone(915) 533-8870
Organization SubpartNo
Authorized OfficialNgozi Kathleen Austin-elejeManager/owner · (915) 533-8870
Enumeration DateOctober 14, 2019
✔ NPI 1336781020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
461 SKYMASTER CIR, Fairfield, CA 94535
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CINDY HODGES DPH
Pharmacist
461 SKYMASTER CIR, BLDG 650
TRAVIS AFB, CA 94535
Solano County (707) 423-7658
DR. MARIA GUADALUPE TARIN-LOPEZ O.D.
Optometrist
461 SKYMASTER CIR
TRAVIS AFB, CA 94535
Solano County (707) 437-4095
MICHAEL D'AMICO PHARM.D
Pharmacist
461 SKYMASTER CIR
FAIRFIELD, CA 94535
Solano County (707) 423-7658
MICHAEL CRAIG LARSEN AN OPTOMETRIC CORPORATION
Optometrist
461 SKYMASTER CIR
TRAVIS AFB, CA 94535
Solano County (707) 437-4095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nickes Medical Supply, LLC's NPI number?

The NPI number for Nickes Medical Supply, LLC is 1336781020. It was assigned to this organization in the NPPES registry on October 14, 2019.

Where is Nickes Medical Supply, LLC located?

Nickes Medical Supply, LLC is located at 461 Skymaster Cir, Fairfield, CA 94535. The listed phone number is (915) 533-8870.

What is Nickes Medical Supply, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Nickes Medical Supply, LLC was last updated on October 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.