Carolinas Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00530 Issued in NC

Legal business name

CAROLINAS MEDICAL SUPPLY LLC

Practice address

118 W 13TH St
Salisbury, NC 28144-3710

Phone

(704) 633-7894

Fax

(704) 639-0044

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. James D Myers

Title

Manager

Phone

(704) 633-7894

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1215932736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 595",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281450595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W 13TH ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281443710",
            "telephone_number": "704-633-7894",
            "fax_number": "704-639-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-633-7894",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703270",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carolinas Physicians Network Inc
• Carolinas Physicians Network Inc
• Carolinas Physicians Network, Inc.
• Kelly Bergeron Carpenter, NP-C
• Sierra Dawn Carpenter, AUD

• Durable Medical Equipment & Medical Supplies in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.