Bear RX, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

489DLC-518480 Issued in IA

Legal business name

BEAR RX, LLC

Practice address

1122 Main St Ste 5
Norwalk, IA 50211-1231

Phone

(417) 693-3865

NPI assigned

Sep 26, 2016

Last updated

May 4, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brad Kubik

Title

Owner

Phone

(417) 693-3865

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1962951442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 MAIN ST STE 5",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502111231",
            "telephone_number": "417-693-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 MAIN ST STE 5",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502111231",
            "telephone_number": "417-693-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "KUBIK",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-693-3865"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "489DLC-518480",
            "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 May 4, 2017; 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.