Active NPI
Pamlico Medical Equipment, LLC
- Oxygen Equipment & Supplies (DME)
- Washington, NC
National Provider Identifier
1023085453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 000330485
- Legal business name
- PAMLICO MEDICAL EQUIPMENT, LLC
- Practice address
- 150 Pediatric Dr
Washington, NC 27889-9818 - Phone
- (252) 975-5116
- Fax
- (252) 975-0499
- NPI assigned
- Mar 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Luther D Boykin
- Title
- Director of Materials Management
- Phone
- (252) 522-7282
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 000330485 | NC | Primary |
Addresses
Primary practice location
150 Pediatric Dr
Washington, NC 27889-9818
Mailing address
150 Pediatric Dr
Washington, NC 27889-9818
Phone (252) 975-5116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7702901 | Medicaid | NC |
Other names 1
- Pamlico Medical Equipment
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Kinston, NC
- NPI 1184661050
Member Of
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Kinston, NC
- NPI 1184661050
Member Of
Locations
150 Pediatric Dr
Washington, NC 27889
Phone (252) 975-5116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311897600000",
"number": "1023085453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 PEDIATRIC DR",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278899818",
"telephone_number": "252-975-5116",
"fax_number": "252-975-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 PEDIATRIC DR",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278899818",
"telephone_number": "252-975-5116",
"fax_number": "252-975-0499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAMLICO MEDICAL EQUIPMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-03",
"last_updated": "2011-07-29",
"status": "A",
"authorized_official_last_name": "BOYKIN",
"authorized_official_first_name": "LUTHER",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR OF MATERIALS MANAGEMENT",
"authorized_official_telephone_number": "252-522-7282",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NC",
"license": "000330485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7702901",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pamlico Medical Equipment",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Washington, NC
- William C Padgett, OD
- Pamlico Arms
- Pamlico Counseling PLLC
- Pamlico Family Medicine & Wellness Center, PLLC
- Pamlico Internal Medicine Associates Inc
- Pamlico Pediatric Therapy
- Pamlico Podiatry Associates PA
- Pamlico River Behavioral Health, PLLC
- Pamlico River Recovery Services LLC
- Laurel Eichelberger Paramore, MSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.