Nick's Discount Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1199047 Issued in VA

Legal business name

NICK'S DISCOUNT MEDICAL, LLC

Doing business as

Nick's Discount Medical Supplies

Practice address

201 N Pinetta Dr
Richmond, VA 23235-4915

Phone

(804) 323-8271

Fax

(804) 323-9022

NPI assigned

Oct 20, 2010

Last updated

Oct 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul David Lilly

Title

Ceo/ VP

Phone

(804) 323-8271

Specialties & licenses 1

Addresses

Other names 1

• Nick's Discount Medical Supplies Doing business as

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1073823381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N PINETTA DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354915",
            "telephone_number": "804-323-8271",
            "fax_number": "804-323-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N PINETTA DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354915",
            "telephone_number": "804-323-8271",
            "fax_number": "804-323-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK'S DISCOUNT MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO/ VP",
        "authorized_official_telephone_number": "804-323-8271"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "1199047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nick's Discount Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seth Joseph Nichols, PTA
• Benjamin Nicholson, MD
• Christopher S Nicholson, MD
• Haley Nicholson
• William Spratley Nicholson
• Nickel Bridge Family Medicine
• Robert Lloyd Nickles, MSW, LCSW
• Jennifer Maxine Swift Nicol
• Don S Nicolas, MD
• Patricia A Nicolato, DO

• Durable Medical Equipment & Medical Supplies in Richmond, VA
• Providers in Richmond, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.