Randolph Medical Plus LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RANDOLPH MEDICAL PLUS LLC

Doing business as

Randolph Mobility and Wellness

Practice address

2303 S 22ND St
Saint Joseph, MO 64503-2811

Phone

(816) 364-4357

Fax

(816) 364-3165

NPI assigned

Aug 16, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Kenton William Randolph, ATP

Title

Owner, Atp

Phone

(816) 364-4357

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Randolph Mobility and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Randolph Medical Plus LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Randolph Medical Plus LLC

  dba Randolph Drug Store

  • Community/Retail Pharmacy
  • Maysville, MO
  • NPI 1952327108
  NPD tax ID

Locations

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1205828381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1395",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645021395",
            "telephone_number": "816-364-4357",
            "fax_number": "816-364-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 S 22ND ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032811",
            "telephone_number": "816-364-4357",
            "fax_number": "816-364-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH MEDICAL PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "KENTON",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER, ATP",
        "authorized_official_telephone_number": "816-364-4357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "623991205",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randolph Mobility and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anushri Singh Rajapuri
• Leonard V Ramlatchman, RPH, BCPP
• Jodi Ramold, LCSW
• Ricardo A Ramos, MD
• Bethany Randles, DNP
• Randy S. Buckles, DO, Family Health Care, LLC (Family Health Care, LLC)
• Rajagopal R Rangineni, MD
• Stephanie R. Ray, LCSW
• Adam Joseph Reardon, DPT
• Candace Eileeen Redel, FNP

• Durable Medical Equipment & Medical Supplies in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.