Infinity Diabetic & Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

INFINITY DIABETIC & MEDICAL SUPPLY

Practice address

1900 Broad River Rd
Suite 17
Columbia, SC 29210-7047

Phone

(803) 772-2555

Fax

(803) 772-2878

NPI assigned

Dec 12, 2007

Last updated

Dec 12, 2007By 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

Mrs. Fannie M Geddis

Title

Ceo

Phone

(803) 772-2555

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1134302102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3321",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292303321",
            "telephone_number": "803-772-2555",
            "fax_number": "803-772-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BROAD RIVER RD",
            "address_2": "SUITE 17",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292107047",
            "telephone_number": "803-772-2555",
            "fax_number": "803-772-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY DIABETIC & MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "GEDDIS",
        "authorized_official_first_name": "FANNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-772-2555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2462",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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