Medikwip, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2010OCC-004793 Issued in GA

Legal business name

MEDIKWIP, LLC

Practice address

3151 Lenora Church Rd
Suite 100
Snellville, GA 30039-4823

Phone

(770) 449-6960

Fax

(877) 768-4658

NPI assigned

Sep 29, 2008

Organization subpart

No

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

Authorized official

Name

Marlene Clarke

Title

President

Phone

(770) 449-6960

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1205086154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 LENORA CHURCH RD",
            "address_2": "SUITE 100",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300394823",
            "telephone_number": "770-449-6960",
            "fax_number": "877-768-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 LENORA CHURCH RD",
            "address_2": "SUITE 100",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300394823",
            "telephone_number": "770-449-6960",
            "fax_number": "877-768-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIKWIP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-449-6960"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "2010OCC-004793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "783433216A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Snellville, GA
• Providers in Snellville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.