Palmetto Medical Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PALMETTO MEDICAL SUPPLIES, LLC

Practice address

1904 Academy St Unit C
Columbia, SC 29203-6958

Phone

(803) 665-1301

Fax

(803) 407-0534

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Anahit KhachatrianNPI 1184811341

Title

President

Phone

(803) 665-1301

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anahit Khachatrian

  • Durable Medical Equipment & Medical Supplies
  • Columbia, SC
  • NPI 1184811341
  NPD (past) Authorized official

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1164619326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 ACADEMY ST UNIT C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036958",
            "telephone_number": "803-665-1301",
            "fax_number": "803-407-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 ACADEMY ST UNIT C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036958",
            "telephone_number": "803-665-1301",
            "fax_number": "803-407-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "KHACHATRIAN",
        "authorized_official_first_name": "ANAHIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-665-1301",
        "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": "DE3042",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACM",
            "identifier": "1034789",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmetto Internal Medicine PA
• Palmetto Kidney and Hypertension Associates LLC
• Palmetto Kids Speech Therapy, LLC
• Palmetto Labs Now, LLC
• Palmetto Medical Practice, PC
• Palmetto Mental Health Counseling, LLC
• Palmetto Mobile Dental Centers LLC
• Palmetto Oaks Adult Day Health Center
• Palmetto OB/GYN Associates
• Palmetto Optometry Associates, PA

• Durable Medical Equipment & Medical Supplies in Columbia, SC
• Providers in Columbia, 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 Jun 16, 2008; 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.