Active NPI
Locklear Medical Supplies,Inc
- Durable Medical Equipment & Medical Supplies
- Maxton, NC
National Provider Identifier
1023088432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2011
- 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
- Ms. Velissa M Locklear, COFM
- Title
- Office Manger
- Phone
- (910) 844-1001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7703309 | Medicaid | NC | |
| 000969504A | Medicaid | GA | |
| 045MM | Other | NC | BCBS |
| DE1865 | Medicaid | SC |
Other names 1
- Durable Medical Equipment
National Provider Directory
National Provider DirectoryLocations
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
- Kerr Drug Inc a Delaware Company (Kerr Drug 221)
- Hailey Kinlaw
- Langley Family Practice P a
- Liberty Nursing Services II, LLC (Liberty Nursing Services)
- Life Solutions
- Mary Beth Locklear-Jones, LPCS,LCAS,CCS
- Kristy L Locklear, LCSWA
- Mary Locklear
- Nicholas Cleo Locklear, PHARMD
- Regina Smiling Locklear, RN
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.