MC Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MC MEDICAL SUPPLY

Practice address

353 Christine St Ste 2
Cape Girardeau, MO 63703-5810

Phone

(573) 755-0302

NPI assigned

Sep 28, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Brandy Nicole McKay

Title

Owner/Member

Phone

(573) 755-0302

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881103299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 CHRISTINE ST STE 2",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035810",
            "telephone_number": "573-755-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 CHRISTINE ST STE 2",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035810",
            "telephone_number": "573-755-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "573-755-0302",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.