KC Prime DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KC PRIME DME LLC

Practice address

10639 N Holly St
Kansas City, MO 64155-7703

Phone

(816) 394-9834

Fax

(816) 394-9834

NPI assigned

Jun 30, 2026

Organization subpart

No

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

Authorized official

Name

Imrana Tahir

Title

Owner

Phone

(816) 291-3712

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1265359376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10639 N HOLLY ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641557703",
            "telephone_number": "816-394-9834",
            "fax_number": "816-394-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10639 N HOLLY ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641557703",
            "telephone_number": "816-394-9834",
            "fax_number": "816-394-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC PRIME DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "TAHIR",
        "authorized_official_first_name": "IMRANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-291-3712"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Kansas City, MO
• Providers in Kansas City, 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 Jun 30, 2026; 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.