Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phoenix Medical Supplies LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1770916892

Phoenix Medical Supplies LLC is a Durable Medical Equipment & Medical Supplies in Waukesha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.

Licensed in
WI
In the registry since
2013
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

512 Oakland Ave
Waukesha, WI 53186-5573
Phone: (262) 955-8911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 456-1028557037-02 (WI)
Parenteral & Enteral Nutrition Supplies (DME) Taxonomy 332BP3500X · Licence 456-1028557037-02 (WI)
Oxygen Equipment & Supplies (DME) Taxonomy 332BX2000X · Licence 456-1028557037-02 (WI)

Record details

NPI number1770916892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Nielsen — Owner · (262) 955-8911
NPI enumeratedAugust 13, 2013
Last updated in NPPESAugust 13, 2013
Mailing address512 Oakland Ave, Waukesha, WI 53186-5573

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