Organization Active NPI

Locklear Medical Supplies,Inc

  • Durable Medical Equipment & Medical Supplies
  • Maxton, NC
National Provider Identifier
1023088432
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LOCKLEAR MEDICAL SUPPLIES,INC
Practice address
114 N Patterson St.
Maxton, NC 28364
Phone
(910) 844-1001
Fax
(910) 844-1035
NPI assigned
Jan 26, 2006
Last updated
Sep 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Ms. Velissa M Locklear, COFM
Title
Office Manger
Phone
(910) 844-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NC Primary

Addresses

Primary practice location

114 N Patterson St.
Maxton, NC 28364

Mailing address

114 N Patterson St
Maxton, NC 28364-1735
Phone (910) 844-1001

Other identifiers 4

IdentifierTypeStateIssuer
7703309MedicaidNC
000969504AMedicaidGA
045MMOtherNCBCBS
DE1865MedicaidSC

Other names 1

  • Durable Medical Equipment Other name

National Provider Directory

National Provider Directory

Locations

114 N Patterson St
Maxton, NC 28364
Phone (910) 723-7570

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1023088432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N PATTERSON ST",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283641735",
            "telephone_number": "910-844-1001",
            "fax_number": "910-844-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N PATTERSON ST.",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "28364",
            "telephone_number": "910-844-1001",
            "fax_number": "910-844-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKLEAR MEDICAL SUPPLIES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "VELISSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "910-844-1001",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COFM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703309",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000969504A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "045MM",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1865",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durable Medical Equipment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maxton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.