Organization Active NPI

Sharon G Wilcox

  • Durable Medical Equipment & Medical Supplies
  • Midland, TX
National Provider Identifier
1255517678
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHARON G WILCOX
Doing business as
PENNYRICH BRA & LINGERIE
Practice address
311 Dodson St
Midland, TX 79701-6334
Phone
(432) 683-1045
Fax
(432) 618-0913
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Sharon G Wilcox
Title
Sole Proprietor
Phone
(432) 683-1045

Specialties & licenses 1

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

Addresses

Primary practice location

311 Dodson St
Midland, TX 79701-6334

Mailing address

311 Dodson St
Midland, TX 79701-6334
Phone (432) 683-1045

Other identifiers 1

IdentifierTypeStateIssuer
531336OtherTXBCBS

Other names 1

  • PENNYRICH BRA & LINGERIE Doing business as

National Provider Directory

National Provider Directory

Locations

311 Dodson St
Midland, TX 79701
Phone (432) 683-1045

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1255517678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 DODSON ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016334",
            "telephone_number": "432-683-1045",
            "fax_number": "432-618-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 DODSON ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016334",
            "telephone_number": "432-683-1045",
            "fax_number": "432-618-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON G WILCOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "432-683-1045"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "531336",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENNYRICH BRA & LINGERIE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

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