Organization Active NPI

Carolina Professional Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Lumberton, NC
National Provider Identifier
1073708277
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
01330 Issued in NC
Legal business name
CAROLINA PROFESSIONAL MEDICAL SUPPLIES
Practice address
101 N Court SQ
Lumberton, NC 28358-5579
Phone
(910) 774-3295
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Daryl Wayne Locklear
Title
President
Phone
(910) 774-3295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 01330 NC Primary

Addresses

Primary practice location

101 N Court SQ
Lumberton, NC 28358-5579

Mailing address

101 N Court SQ
Lumberton, NC 28358-5579
Phone (910) 774-3295

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1073708277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N COURT SQ",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283585579",
            "telephone_number": "910-774-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N COURT SQ",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283585579",
            "telephone_number": "910-774-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PROFESSIONAL MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-774-3295"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "01330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.