RICK'S MEDICAL SUPPLY, INC (NPI# 1962940981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962940981 |
| Entity Type | Organization |
| Organization Name | RICK'S MEDICAL SUPPLY, INC |
| Practice Address |
780 Nw Garden Valley Blvd Suite 240 Roseburg OR 97471-1955 |
| Mailing Address |
482 Ne Winchester St Roseburg OR 97470-3256 |
| Practice Telephone | 5416723042 |
| Practice Fax Number | 5416730715 |
| Mailing Telephone | 5416723042 |
| Mailing Fax Number | 5416730715 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |
| Authorized Official Name | BRAD WATKINS (PRESIDENT) |
| Authorized Official Telephone | 5416723042 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 164590 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629558010 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 1934c Newmark St, North Bend, OR 97459-1230 | 2018-08-15 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | RICK'S MEDICAL SUPPLY, INC. | 482 Ne Winchester St, Roseburg, OR 97470 |
| Street Address |
780 NW GARDEN VALLEY BLVD SUITE 240 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235110446 | Valley Opticians Inc. | Eyewear Supplier (Equipment, not the service) | 780 Nw Garden Valley Blvd, Suite 50b-1, Roseburg, OR 97470-6528 | 2005-11-07 |
| 1679797666 | Laurence Biddle Danson | Optometrist | 780 Nw Garden Valley Blvd, #50b1, Roseburg, OR 97470 | 2007-04-12 |
| 1649396631 | Gregory Wayne Reneau | Chiropractor | 780 Nw Garden Valley Blvd, Suite #300, Roseburg, OR 97470-1955 | 2007-03-21 |
| 1447384433 | Donald Eugene Reneau | Chiropractor | 780 Nw Garden Valley Blvd, Suite 300, Roseburg, OR 97470-1955 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335073 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 621 W Madrone St Ste P1, Roseburg, OR 97470-3090 | 2019-09-18 |
| 1851958086 | Youwalk Today, Inc. | Durable Medical Equipment & Medical Supplies | 1601 Gem Dr, Roseburg, OR 97471-8647 | 2019-05-22 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1801184072 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1236 Nw Garden Valley Blvd, Roseburg, OR 97471-1925 | 2011-07-21 |
| 1114175015 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1377 Ne Stephens St, Roseburg, OR 97470-2159 | 2008-09-04 |
| 1457520041 | Douglas Medical Equipment Supply LLC | Durable Medical Equipment & Medical Supplies | 1813 W. Harvard Ave, Ste 212, Roseburg, OR 97471 | 2008-02-27 |
| 1053485102 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 832 W Harvard Ave, Roseburg, OR 97471-2960 | 2006-11-20 |
| 1699854588 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1810 Nw Mulholland Dr, Roseburg, OR 97470-1945 | 2006-11-03 |
| 1033228317 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 444 Stephens Street Southeast, Roseburg, OR 97470-3136 | 2006-08-30 |
| 1487763777 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1430 Northwest Garden Valley Road, Roseburg Valley Mall, Roseburg, OR 97470-1766 | 2006-08-30 |
| Find all providers in ROSEBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.