Organization Active NPI

Reliable Medical of Florence, LLC

  • Durable Medical Equipment & Medical Supplies
  • Florence, SC
National Provider Identifier
1184695017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RELIABLE MEDICAL OF FLORENCE, LLC
Practice address
115 Kuker St
Ste B
Florence, SC 29501-4376
Phone
(843) 317-1068
Fax
(843) 317-1688
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alan B Richey
Title
Partner
Phone
(843) 881-4928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X SC Primary

Addresses

Primary practice location

115 Kuker St
Ste B
Florence, SC 29501-4376

Mailing address

108A Thomas Cary CT
Wando, SC 29492-7940
Phone (843) 881-4928

Other identifiers 1

IdentifierTypeStateIssuer
DE2655MedicaidSC

National Provider Directory

National Provider Directory

Locations

115 Kuker St
Ste B
Florence, SC 29501
Phone (843) 317-1068

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184695017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108A THOMAS CARY CT",
            "city": "WANDO",
            "state": "SC",
            "postal_code": "294927940",
            "telephone_number": "843-881-4928",
            "fax_number": "843-884-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KUKER ST",
            "address_2": "STE B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014376",
            "telephone_number": "843-317-1068",
            "fax_number": "843-317-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE MEDICAL OF FLORENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHEY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-881-4928"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2655",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.