Organization Active NPI

Premier Medical Supplies & Equipment, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oxford, NC
National Provider Identifier
1073706875
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PREMIER MEDICAL SUPPLIES & EQUIPMENT, LLC
Practice address
1419A College St
Oxford, NC 27565-2578
Phone
(919) 603-1811
Fax
(919) 603-1911
NPI assigned
Aug 24, 2007
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mrs. Stephanie Danielle Harris
Title
President
Phone
(919) 690-0524

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X
Oxygen Equipment & Supplies (DME) 332BX2000X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

1419A College St
Oxford, NC 27565-2578

Mailing address

1419A College St
Oxford, NC 27565-2578
Phone (919) 690-0524

Other identifiers 1

IdentifierTypeStateIssuer
7704872MedicaidNC

National Provider Directory

National Provider Directory

Locations

1419A College St
Oxford, NC 27565
Phone (919) 339-4500

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1073706875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419A COLLEGE ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652578",
            "telephone_number": "919-690-0524",
            "fax_number": "919-603-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419A COLLEGE ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652578",
            "telephone_number": "919-603-1811",
            "fax_number": "919-603-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL SUPPLIES & EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-690-0524",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704872",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.