PHOENIX MEDICAL SUPPLIES LLC
NPI 1770916892
Durable Medical Equipment & Medical Supplies in Waukesha, WI

Q: What is Phoenix Medical Supplies LLC's NPI number?

The NPI number for Phoenix Medical Supplies LLC is 1770916892. It was assigned to this organization in the NPPES registry on August 13, 2013.

Q: What is Phoenix Medical Supplies LLC's specialty?

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

Active since August 13, 2013

512 OAKLAND AVE, WAUKESHA, WI 53186(262) 955-8911 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phoenix Medical Supplies Llc NPPES

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

PHOENIX MEDICAL SUPPLIES LLC (NPI 1770916892) is a healthcare organization registered as a durable medical equipment & medical supplies in Waukesha, Wisconsin and active in the NPI registry since August 2013. The organization lists Jacob Nielsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1770916892

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NamePHOENIX MEDICAL SUPPLIES LLC

Location Address512 OAKLAND AVEWaukesha, WI 53186-5573

Mailing Address512 Oakland AveWaukesha, WI 53186-5573 · (262) 955-8911

Phone(262) 955-8911

Organization SubpartNo

Authorized OfficialJacob NielsenOwner · (262) 955-8911

Enumeration DateAugust 13, 2013

✔ NPI 1770916892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

License✔ Licensed in WI · 456-1028557037-02

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.

Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 456-1028557037-02 (WI)

Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X · License 456-1028557037-02 (WI)

512 OAKLAND AVE, Waukesha, WI 53186

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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 Phoenix Medical Supplies LLC's NPI number?

The NPI number for Phoenix Medical Supplies LLC is 1770916892. It was assigned to this organization in the NPPES registry on August 13, 2013.

Where is Phoenix Medical Supplies LLC located?

Phoenix Medical Supplies LLC is located at 512 Oakland Ave, Waukesha, WI 53186. The listed phone number is (262) 955-8911.

What is Phoenix Medical Supplies 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 Phoenix Medical Supplies LLC was last updated on August 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.