MEDICARE: GERIPRO, 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	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
2	332BN1400X	Nursing Facility Supplies (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497788293
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GERIPRO, INC.

Provider Business Mailing Address
First Line	:	14637 N CAVE CREEK RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85022-4154
Country	:	US
Telephone Number	:	602-249-6800
Fax Number	:	602-249-6888

Provider Business Practice Location Address
First Line	:	14637 N CAVE CREEK RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85022-4154
Country	:	US
Telephone Number	:	602-249-6800
Fax Number	:	602-249-6888

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ADRIAN PERRY
Credential	:
Telephone Number	:	602-249-6800

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	09/11/2025

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Directions to “GERIPRO, INC. ” Practice Location

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