Active NPI
Medcore Supply LLC
- Pharmacy
- Las Vegas, NV
National Provider Identifier
1477465037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- MEDCORE SUPPLY LLC
- Practice address
- 10245 S Maryland Pkwy Unit 176
Las Vegas, NV 89183-4042 - Phone
- (703) 988-5535
- NPI assigned
- Sep 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Omer Ahmed
- Title
- Director
- Phone
- (703) 988-5535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
10245 S Maryland Pkwy Unit 176
Las Vegas, NV 89183-4042
Mailing address
10245 S Maryland Pkwy Unit 176
Las Vegas, NV 89183-4042
Phone (703) 988-5535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789689600000",
"number": "1477465037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10245 S MARYLAND PKWY UNIT 176",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891834042",
"telephone_number": "703-988-5535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10245 S MARYLAND PKWY UNIT 176",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891834042",
"telephone_number": "703-988-5535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDCORE SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-18",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "OMER",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "703-988-5535"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.