Organization Active NPI

Home Med Store

  • Durable Medical Equipment & Medical Supplies
  • Norfolk, VA
National Provider Identifier
1023204617
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOME MED STORE
Practice address
3868 Chatham Cir
Norfolk, VA 23513-3445
Phone
(757) 855-6191
NPI assigned
Sep 18, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Pam Floyd
Title
Owner
Phone
(757) 855-6191

Specialties & licenses 1

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

Addresses

Primary practice location

3868 Chatham Cir
Norfolk, VA 23513-3445

Mailing address

3868 Chatham Cir
Norfolk, VA 23513-3445

Other identifiers 1

IdentifierTypeStateIssuer
APPLIED FORMedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1023204617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3868 CHATHAM CIR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235133445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3868 CHATHAM CIR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235133445",
            "telephone_number": "757-855-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MED STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-855-6191"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIED FOR",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.