Organization Active NPI

Pamlico Medical Equipment, LLC

  • Oxygen Equipment & Supplies (DME)
  • Washington, NC
National Provider Identifier
1023085453
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
000330485 Issued in NC
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

Updated by the provider on Jul 29, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7702901MedicaidNC

Other names 1

  • Pamlico Medical Equipment Former legal business name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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

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.

Verify at the official NPI Registry.