Organization Active NPI

Core Med Supply LLC

  • Dialysis Equipment & Supplies (DME)
  • Cheyenne, WY
National Provider Identifier
1740142157
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X
Legal business name
CORE MED SUPPLY LLC
Practice address
1021 E Lincolnway Ste 9161
Cheyenne, WY 82001-4851
Phone
(469) 915-5044
NPI assigned
Nov 25, 2025
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Rishabh Shukla
Title
Authorized Official
Phone
(469) 915-5044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dialysis Equipment & Supplies (DME) 332BD1200X NU Primary

Addresses

Primary practice location

1021 E Lincolnway Ste 9161
Cheyenne, WY 82001-4851

Mailing address

1021 E Lincolnway Ste 9161
Cheyenne, WY 82001-4851

National Provider Directory

National Provider Directory

Locations

1021 E Lincolnway
Ste 9161
Cheyenne, WY 82001

NPI Registry JSON

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1740142157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 E LINCOLNWAY STE 9161",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 E LINCOLNWAY STE 9161",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014851",
            "telephone_number": "469-915-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE MED SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "RISHABH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "469-915-5044"
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.