Med-One Supply, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1000002518 Issued in PA

Legal business name

MED-ONE SUPPLY, INC.

Practice address

210 Division St
Kingston, PA 18704-2715

Phone

(570) 287-9882

Fax

(570) 287-8535

NPI assigned

Aug 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John P. Nocek

Title

Owner

Phone

(570) 287-9882

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1811999709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 DIVISION ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187042715",
            "telephone_number": "570-287-9882",
            "fax_number": "570-287-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 DIVISION ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187042715",
            "telephone_number": "570-287-9882",
            "fax_number": "570-287-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-ONE SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "NOCEK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-287-9882",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PA",
            "license": "1000002518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara McCormack, PA-C
• James Robert McDermott, D.C.
• Randy Charles McDermott, PTA
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• Kellie Nicole Meehan
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• Oxygen Equipment & Supplies (DME) in Kingston, PA
• Providers in Kingston, PA by specialty
• Oxygen Equipment & Supplies (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.