Medicore Medical Service LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICORE MEDICAL SERVICE LLC

Practice address

2303 Kratky Rd Apt B
Saint Louis, MO 63114-1783

Phone

(636) 293-1457

NPI assigned

Jan 11, 2019

Organization subpart

No

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

Authorized official

Name

Olesya Chernenko

Title

Organizator/Member

Phone

(636) 293-1457

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1548734627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 KRATKY RD APT B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631141783",
            "telephone_number": "636-293-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 KRATKY RD APT B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631141783",
            "telephone_number": "636-293-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICORE MEDICAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "CHERNENKO",
        "authorized_official_first_name": "OLESYA",
        "authorized_official_title_or_position": "ORGANIZATOR/MEMBER",
        "authorized_official_telephone_number": "636-293-1457"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Saint Louis, 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 Jan 11, 2019; 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.