Organization Active NPI

Paramount Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
National Provider Identifier
1124411343
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PARAMOUNT MEDICAL SUPPLY, LLC
Practice address
6012 Old Pineville Rd
Suite D
Charlotte, NC 28217-3604
Phone
(704) 561-3329
NPI assigned
Mar 12, 2015
Organization subpart
Yes
Parent organization
PARAMOUNT MEDICAL SUPPLY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Mr. Avery Glasco Sales
Title
President
Phone
(704) 561-3329

Specialties & licenses 1

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

Addresses

Primary practice location

6012 Old Pineville Rd
Suite D
Charlotte, NC 28217-3604

Mailing address

6012 Old Pineville Rd
Suite D
Charlotte, NC 28217-3604
Phone (704) 561-3329

National Provider Directory

National Provider Directory
Part of
Paramount Medical Supply LLC

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1124411343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 OLD PINEVILLE RD",
            "address_2": "SUITE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173604",
            "telephone_number": "704-561-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 OLD PINEVILLE RD",
            "address_2": "SUITE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173604",
            "telephone_number": "704-561-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT MEDICAL SUPPLY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARAMOUNT MEDICAL SUPPLY, LLC",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "SALES",
        "authorized_official_first_name": "AVERY",
        "authorized_official_middle_name": "GLASCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-561-3329",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.