Active NPI
Home Med Store
- Durable Medical Equipment & Medical Supplies
- Norfolk, VA
National Provider Identifier
1023204617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2007
- 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
- Pam Floyd
- Title
- Owner
- Phone
- (757) 855-6191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APPLIED FOR | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI 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
- Gianna Korinne Holt
- Richard V Homan, MD
- Home Care Medical Supplies
- Home Care With Edna Earl, LLC
- Home Health Medical Supplies LLC
- Home Medical Enterprises
- Home Sweet Haven LLC
- Homechoice Partners LLC (BioScrip Infusion Services)
- Homechoice Partners, LLC
- Homechoice Partners, LLC (BioScrip Infusion Services)
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.