MEDICARE: SHALOM DME SUPPLIER INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	20183915	AZ

General Provider Information

NPI Number	:	1366623084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHALOM DME SUPPLIER INC.

Provider Business Mailing Address
First Line	:	2611 N 7TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-1002
Country	:	US
Telephone Number	:	602-279-8066
Fax Number	:	602-274-6906

Provider Business Practice Location Address
First Line	:	2611 N 7TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-1002
Country	:	US
Telephone Number	:	602-279-8066
Fax Number	:	602-274-6906

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. ALISA GHEREGA
Credential	:
Telephone Number	:	602-279-8066

Provider Enumeration Date	:	11/21/2007
Last Update Date	:	11/21/2007

Similar Medicare Providers

1962496323 — DR. BRANDON J KIM DPM
Practice Location Address:

1002 E MCDOWELL RD , SUITE A
PHOENIX, AZ
85006-2625

Practice Phone: 602-262-2663
Practice Fax: 602-258-3008

1659349918 — URGENT CARE PLUS L.L.C.
Practice Location Address:

1002 E MCDOWELL RD , SUITE # 120
PHOENIX, AZ
85006-2625

Practice Phone: 602-256-2273
Practice Fax: 602-258-5638

1023086113 — ELITE FOOT AND ANKLE SURGICAL SPECIALISTS
Practice Location Address:

1002 E MCDOWELL RD , SUITE A
PHOENIX, AZ
85006-2625

Practice Phone: 602-262-2663
Practice Fax: 602-258-3008

1578507901 — MRS. SUSAN KIMBERLY MARTIN F.N.P.
Practice Location Address:

1002 E MCDOWELL RD , SUITE 120
PHOENIX, AZ
85006-2625

Practice Phone: 602-256-2273
Practice Fax: 602-258-5638

1881703353 — PROCARE PHARMACY, L.L.C.
Practice Location Address:

1002 E MCDOWELL RD
PHOENIX, AZ
85006-2625

Practice Phone: 800-351-5552
Practice Fax:

1356403695 — DR. JOSEF KHALIL M.D.
Practice Location Address:

1002 E. MCDOWELL RD. , SUITE A
PHOENIX, AZ
85006-2624

Practice Phone: 602-388-4299
Practice Fax: 602-388-4097

1588713952 — MS. ALICE ELIZABETH KRAFT FNP-C
Practice Location Address:

1002 E MCDOWELL RD # 120
PHOENIX, AZ
85006-2625

Practice Phone: 602-256-2273
Practice Fax: 602-258-5618

Directions to “SHALOM DME SUPPLIER INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.