Medical Supply Superstore at Chatham Crossing

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00481 Issued in NC

Legal business name

MEDICAL SUPPLY SUPERSTORE AT CHATHAM CROSSING

Practice address

11312 US 15-501 North
Suite 306
Chapel Hill, NC 27517

Phone

(919) 960-8100

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Kathryn Coons

Title

Manager

Phone

(919) 220-0740

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063530996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11312 US 15-501 NORTH",
            "address_2": "SUITE 306",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11312 US 15-501 NORTH",
            "address_2": "SUITE 306",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27517",
            "telephone_number": "919-960-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPLY SUPERSTORE AT CHATHAM CROSSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COONS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-220-0740"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703100",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farah Fayzah Mechref, MD
• Kelly Hilton Mecimore, COTA/L
• Med First Immediate Care & Family Practice PA
• Medaccess Urgent Care, PLLC
• Taylor Medeiros, PA-C
• Chaely Jones Medley, AGPCNP
• Caitlan Meekins
• Sharon Kay Meginnis, PH. D.
• Rim Mehari, MD, MPH
• Zain Mehdi, DO

• Durable Medical Equipment & Medical Supplies in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.