Active NPI
Whaley Medical
- Durable Medical Equipment & Medical Supplies
- Shelby, NC
National Provider Identifier
1174854418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 600137936
- Legal business name
- WHALEY MEDICAL
- Practice address
- 1157 E Marion St Ste 2
Shelby, NC 28150-4890 - Phone
- (704) 487-6866
- Fax
- (704) 481-9633
- NPI assigned
- Jan 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carl S Whaley
- Title
- President
- Phone
- (704) 487-6866
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 600137936 | NC | Primary |
| Customized Equipment (DME) | 332BC3200X | 600137936 | NC | |
| Dialysis Equipment & Supplies (DME) | 332BD1200X | 600137936 | NC | |
| Nursing Facility Supplies (DME) | 332BN1400X | 600137936 | NC | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 600137936 | NC | |
| Eyewear Supplier | 332H00000X | 600137936 | NC | |
| Hearing Aid Equipment | 332S00000X | 600137936 | NC |
Addresses
Primary practice location
1157 E Marion St Ste 2
Shelby, NC 28150-4890
Mailing address
1157 E Marion St Ste 2
Shelby, NC 28150-4890
Phone (704) 487-6866
Other names 1
- Proline Medical Supplies
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264550400000",
"number": "1174854418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1157 E MARION ST STE 2",
"city": "SHELBY",
"state": "NC",
"postal_code": "281504890",
"telephone_number": "704-487-6866",
"fax_number": "704-481-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1157 E MARION ST STE 2",
"city": "SHELBY",
"state": "NC",
"postal_code": "281504890",
"telephone_number": "704-487-6866",
"fax_number": "704-481-9633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHALEY MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-27",
"last_updated": "2010-01-27",
"status": "A",
"authorized_official_last_name": "WHALEY",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-487-6866",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "600137936",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NC",
"license": "600137936",
"primary": false
},
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": "NC",
"license": "600137936",
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "NC",
"license": "600137936",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NC",
"license": "600137936",
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NC",
"license": "600137936",
"primary": false
},
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "NC",
"license": "600137936",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Proline Medical Supplies",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.