Organization Active NPI

Century Care Pen Therapy Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Cary, NC
National Provider Identifier
1083682835
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
000460726 Issued in NC
Legal business name
CENTURY CARE PEN THERAPY INC
Practice address
130 Edinburgh South Dr
Suite 208
Cary, NC 27511-7902
Phone
(919) 467-8686
Fax
(919) 467-9109
NPI assigned
Mar 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Mr. Robert E Gilliam
Title
President
Phone
(919) 467-8686

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 000460726 NC Primary

Addresses

Primary practice location

130 Edinburgh South Dr
Suite 208
Cary, NC 27511-7902

Mailing address

130 Edinburgh South Dr
Suite 208
Cary, NC 27511-7902
Phone (919) 467-8686

National Provider Directory

National Provider Directory

Locations

130 Edinburgh South Dr
Ste 208
Cary, NC 27511
Phone (919) 459-4719

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1083682835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 EDINBURGH SOUTH DR",
            "address_2": "SUITE 208",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117902",
            "telephone_number": "919-467-8686",
            "fax_number": "919-467-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 EDINBURGH SOUTH DR",
            "address_2": "SUITE 208",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117902",
            "telephone_number": "919-467-8686",
            "fax_number": "919-467-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY CARE PEN THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-467-8686",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NC",
            "license": "000460726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.