Organization Active NPI

GWM Enterprises Inc.

  • Oxygen Equipment & Supplies (DME)
  • Ahoskie, NC
National Provider Identifier
1073679544
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
7755 Issued in NC
Legal business name
GWM ENTERPRISES INC.
Practice address
312 Academy St S
Ahoskie, NC 27910-3200
Phone
(252) 537-7010
Fax
(252) 410-0743
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Bryan Isles
Title
VP Operations
Phone
(252) 537-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 7755 NC Primary

Addresses

Primary practice location

312 Academy St S
Ahoskie, NC 27910-3200

Mailing address

107 Smith Church Rd
Roanoke Rapids, NC 27870-4911
Phone (252) 332-4101

Other identifiers 1

IdentifierTypeStateIssuer
7703381MedicaidNC

Other names 1

  • DRUGCO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930041015 NC DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Oxygen & Equipment 3971615980 Practice locations: Ahoskie, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
GWM Enterprises4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1073679544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SMITH CHURCH RD",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704911",
            "telephone_number": "252-332-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 ACADEMY ST S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103200",
            "telephone_number": "252-537-7010",
            "fax_number": "252-410-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWM ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "ISLES",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "252-537-7010"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "7755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703381",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRUGCO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ahoskie, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.