1. Home
  2. Directory
  3. Wyoming
  4. Cheyenne
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

MEDIVANCE SUPPLY LLC
NPI 1962358523
Durable Medical Equipment & Medical Supplies in Cheyenne, WY

Active since March 06, 2026
1021 E LINCOLNWAY STE 9967, CHEYENNE, WY 82001(469) 915-5044 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2026, Mar 6, 2026 (2 updates tracked since 2026).

About Medivance Supply Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDIVANCE SUPPLY LLC (NPI 1962358523) is a healthcare organization registered as a durable medical equipment & medical supplies in Cheyenne, Wyoming and active in the NPI registry since March 2026. The organization lists Imran Kashif, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1962358523
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMEDIVANCE SUPPLY LLC
Location Address1021 E LINCOLNWAY STE 9967Cheyenne, WY 82001-4851
Mailing Address1021 E Lincolnway Ste 9967Cheyenne, WY 82001-4851
Phone(469) 915-5044
Organization SubpartNo
Authorized OfficialImran KashifAuthorized Official · (469) 915-5044
Enumeration DateMarch 6, 2026
Last NPPES UpdateApril 2, 20262 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1962358523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
1021 E LINCOLNWAY STE 9967, Cheyenne, WY 82001
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medivance Supply LLC's NPI number?

The NPI number for Medivance Supply LLC is 1962358523. It was assigned to this organization in the NPPES registry on March 6, 2026.

Where is Medivance Supply LLC located?

Medivance Supply LLC is located at 1021 E Lincolnway Ste 9967, Cheyenne, WY 82001. The listed phone number is (469) 915-5044.

What is Medivance Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Medivance Supply LLC was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.