Medicure Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICURE SUPPLY LLC

Practice address

5820 N Canton Center Rd Ste 120
Canton, MI 48187-2679

Phone

(734) 881-0283

NPI assigned

Nov 29, 2024

Organization subpart

No

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

Authorized official

Name

Jyothi Nichanametla

Title

Owner

Phone

(734) 981-2800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1932925435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 N CANTON CENTER RD STE 120",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872679",
            "telephone_number": "734-881-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 N CANTON CENTER RD STE 120",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872679",
            "telephone_number": "734-881-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICURE SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-29",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "NICHANAMETLA",
        "authorized_official_first_name": "JYOTHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-981-2800"
    },
    "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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• Durable Medical Equipment & Medical Supplies in Canton, MI
• Providers in Canton, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.