Active NPI
Sharon G Wilcox
- Durable Medical Equipment & Medical Supplies
- Midland, TX
National Provider Identifier
1255517678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 531336 | Other | TX | BCBS |
Other names 1
- PENNYRICH BRA & LINGERIE
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthotic Fitter
- Midland, TX
- NPI 1417010414
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.