Pro Med Equipment and Supply Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

00609 Issued in NC

Legal business name

PRO MED EQUIPMENT AND SUPPLY INC

Practice address

601 Memorial Dr E
Ahoskie, NC 27910-3935

Phone

(252) 332-8081

Fax

(252) 332-8091

NPI assigned

Aug 24, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Cyndi W Chamblee

Title

Ownervice President

Phone

(252) 332-8081

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1164415378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORIAL DR E",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103935",
            "telephone_number": "252-332-8081",
            "fax_number": "252-332-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MEMORIAL DR E",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103935",
            "telephone_number": "252-332-8081",
            "fax_number": "252-332-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MED EQUIPMENT AND SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "CHAMBLEE",
        "authorized_official_first_name": "CYNDI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNERVICE PRESIDENT",
        "authorized_official_telephone_number": "252-332-8081",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "00609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703460",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Port Health Services
• Port Health Services
• Port Human Services
• Shy'Kira Nicole Porter, LCSW-A
• Ian Scott Pratt, M.D.
• Pro-Med Equipment & Supply Inc.
• Proactive Therapy of North Carolina Inc (Select Physical Therapy)
• Professional Alternative Visions LLC
• Professional Family Health Service
• Provision Homecare, LLC

• Oxygen Equipment & Supplies (DME) in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• Oxygen Equipment & Supplies (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.