Southern Way Medical Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOUTHERN WAY MEDICAL SUPPLIES, LLC

Practice address

145 Thomas Green Blvd Ste 100
Clemson, SC 29631-2172

Phone

(864) 654-0280

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

Giuseppa Boszko

Title

Owner

Phone

(954) 621-5945

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1154947208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 THOMAS GREEN BLVD STE 100",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312172",
            "telephone_number": "864-654-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 THOMAS GREEN BLVD STE 100",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312172",
            "telephone_number": "864-654-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN WAY MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "BOSZKO",
        "authorized_official_first_name": "GIUSEPPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-621-5945"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Carolina CVS Pharmacy LLC
• South Carolina Provider Services, LLC
• Southern Eye Associates of SC, PA
• Southern Eye Associates of SC, PA
• Southern Solace Counseling, PC
• Lindsay Sparks, PHARM.D.
• Michelle Marie Spearman, MS, RD, LD
• St Francis Physician Services Inc
• Chloe Stafford
• William Robert Stewart III, ATC

• Durable Medical Equipment & Medical Supplies in Clemson, SC
• Providers in Clemson, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.