NPIMap

Organization Active NPI

Livermore Medical Supply

Doing business as Live-More Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Modesto, CA
National Provider Identifier
1467499707
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIVERMORE MEDICAL SUPPLY
Doing business as
Live-More Medical Supplies
Practice address
1721 Prescott Rd
Modesto, CA 95350-2543
Phone
(209) 523-6356
Fax
(209) 523-6346
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Authorized official

Name
Stuart E Rothrock
Title
Owner
Phone
(209) 475-0979

Specialties & licenses 1

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

Addresses

Primary practice location

1721 Prescott Rd
Modesto, CA 95350-2543

Mailing address

4555 N Pershing Ave
Suite #24
Stockton, CA 95207-6740
Phone (209) 475-0979

Other names 1

  • Live-More Medical Supplies Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Live-More Medical Supplies4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1721 Prescott Rd
Modesto, CA 95350
Phone (209) 523-6356

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1467499707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 N PERSHING AVE",
            "address_2": "SUITE #24",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076740",
            "telephone_number": "209-475-0979",
            "fax_number": "209-572-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 PRESCOTT RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953502543",
            "telephone_number": "209-523-6356",
            "fax_number": "209-523-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVERMORE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "ROTHROCK",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-475-0979"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live-More Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.