Organization Active NPI

Flight Republic Property Organization

  • Durable Medical Equipment & Medical Supplies
  • Bridgeton, MO
National Provider Identifier
1073374617
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FLIGHT REPUBLIC PROPERTY ORGANIZATION
Practice address
3430 McKelvey Rd Ste L
Bridgeton, MO 63044-2556
Phone
(636) 206-6154
Fax
(279) 203-0587
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nasir Hamidbeykwahmarok
Title
Owner
Phone
(636) 206-6154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3430 McKelvey Rd Ste L
Bridgeton, MO 63044-2556

Mailing address

3430 McKelvey Rd Ste L
Bridgeton, MO 63044-2556
Phone (636) 206-6154

Other names 1

  • Mo Medical Distribution Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1073374617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 MCKELVEY RD STE L",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442556",
            "telephone_number": "636-206-6154",
            "fax_number": "279-203-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 MCKELVEY RD STE L",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442556",
            "telephone_number": "636-206-6154",
            "fax_number": "279-203-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLIGHT REPUBLIC PROPERTY ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "HAMIDBEYKWAHMAROK",
        "authorized_official_first_name": "NASIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-206-6154"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mo Medical Distribution",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.