Organization Active NPI

Orise Distribution LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint Louis, MO
National Provider Identifier
1477307296
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ORISE DISTRIBUTION LLC
Practice address
935 N Vandeventer Ave # 114
Saint Louis, MO 63108-3563
Phone
(314) 324-9206
NPI assigned
Apr 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Quentin T Womack
Title
Ceo
Phone
(314) 324-9206

Specialties & licenses 1

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

Addresses

Primary practice location

935 N Vandeventer Ave # 114
Saint Louis, MO 63108-3563

Mailing address

935 N Vandeventer Ave # 114
Saint Louis, MO 63108-3563
Phone (314) 324-9206

National Provider Directory

National Provider Directory

Locations

935 N Vandeventer Ave
#114
Saint Louis, MO 63108
Phone (314) 324-9206

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1477307296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 N VANDEVENTER AVE # 114",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083563",
            "telephone_number": "314-324-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 N VANDEVENTER AVE # 114",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083563",
            "telephone_number": "314-324-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORISE DISTRIBUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-324-9206"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.