Active NPI
GWM Enterprises Inc.
- Oxygen Equipment & Supplies (DME)
- Ahoskie, NC
National Provider Identifier
1073679544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 7755
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7703381 | Medicaid | NC |
Other names 1
- DRUGCO
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930041015 | NC | DME Supplier - Pharmacy | 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 Enterprises
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Ahoskie, NC
- NPI 1134285737
-
- Community/Retail Pharmacy
- Littleton, NC
- NPI 1780782649
-
- Oxygen Equipment & Supplies (DME)
- Littleton, NC
- NPI 1851457204
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.