Rick'S Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RICK'S MEDICAL SUPPLY, LLC

Practice address

1934 Newmark St Ste C
North Bend, OR 97459-1274

Phone

(541) 672-3042

Fax

(541) 673-0715

NPI assigned

Aug 15, 2018

Organization subpart

No

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

Authorized official

Name

John Cassar

Title

Ceo

Phone

(888) 260-2550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SuperCare Health Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Rick'S Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Roseburg, OR
  • NPI 1073570230

  0547387649

  Same PAC ID
• Rick'S Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Grants Pass, OR
  • NPI 1316458813

  0547387649

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Rick'S Medical Supply LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Rick'S Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Roseburg, OR
  • NPI 1073570230
  NPD tax ID
• Rick'S Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Grants Pass, OR
  • NPI 1316458813
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Super Care, LLC

  • Oxygen Equipment & Supplies (DME)
  • Victorville, CA
  • NPI 1215738893

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1629558010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16017 VALLEY BLVD.",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917445424",
            "telephone_number": "888-260-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 NEWMARK ST STE C",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591274",
            "telephone_number": "541-672-3042",
            "fax_number": "541-673-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK'S MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "CASSAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-260-2550"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164590",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SuperCare Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kait Reisner, B.S.
• Isabel Resendiz Espino, MS CF-SLP BILINGUAL
• Rest, Relax, Recover Therapeutic Massage Center
• Lizette Yanelli Reyes
• Robert Michael Richards, D.C.
• Rite Aid
• Toni Lee Robbins
• Dominica N Roberts, FNP
• R. Scott Roberts, DDS PC
• Jennifer Sue Rodriguez, MSW

• Durable Medical Equipment & Medical Supplies in North Bend, OR
• Providers in North Bend, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.