Active NPI
Cara White Kirby
- Durable Medical Equipment & Medical Supplies
- Henderson, NC
National Provider Identifier
1194033811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 02741
- Practice address
- 253 Ruin Creek Rd
Henderson, NC 27536-5916 - Phone
- (252) 213-2297
- Fax
- (252) 433-4649
- NPI assigned
- Sep 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 02741 | NC | Primary |
Addresses
Primary practice location
253 Ruin Creek Rd
Henderson, NC 27536-5916
Mailing address
253 Ruin Creek Rd
Henderson, NC 27536-5916
Phone (252) 213-2297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720191661 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02741 | NC | MD | Durable Medical Equipment & Medical Supplies |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Arts Pharmacy Inc | Past | Accepting new patients | |
| Medical Arts Pharmacy Inc | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
| Medical Arts Pharmacy | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacist
- Henderson, NC
- NPI 1700441185
-
dba Medical Arts Pharmacy
- Long Term Care Pharmacy
- Henderson, NC
- NPI 1427614080
-
dba Medical Arts Pharmacy
- Community/Retail Pharmacy
- Henderson, NC
- NPI 1720191661
Durable Medical Equipment & Medical Supplies
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1194033811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 RUIN CREEK RD",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275365916",
"telephone_number": "252-213-2297",
"fax_number": "252-433-4649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 RUIN CREEK RD",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275365916",
"telephone_number": "252-213-2297",
"fax_number": "252-433-4649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "CARA",
"middle_name": "WHITE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-15",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "02741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720191661",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.