Ricklene Enterprises Corp

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

12960519 Issued in MO

Legal business name

RICKLENE ENTERPRISES CORP

Practice address

4960 Laclede Ave
Saint Louis, MO 63108-1404

Phone

(314) 361-6240

Fax

(314) 361-6682

NPI assigned

Feb 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Darlene M Pauls

Title

Vice President

Phone

(314) 361-6240

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316914252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 LACLEDE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081404",
            "telephone_number": "314-361-6240",
            "fax_number": "314-361-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 LACLEDE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081404",
            "telephone_number": "314-361-6240",
            "fax_number": "314-361-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKLENE ENTERPRISES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAULS",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "314-361-6240",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MO",
            "license": "12960519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Rickert, D.O.
• Jennie Lyn Rickert, ACNP
• Kelsey Amanda Ricketts, LCSW, MSW
• Tammy Jean Ricketts, LICSW
• Michael Lawrence Rickher, FNP
• Anne H Rickmeyer, CRNA
• Jean C Ricks-Ayer, CIT
• Matthew T Ricks, DO
• Alison Grace Rico, LCSW
• Jennifer Rico, RN

• Parenteral & Enteral Nutrition Supplies (DME) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.