Progressive Medical Equipment and Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

8109498 Issued in NC

Legal business name

PROGRESSIVE MEDICAL EQUIPMENT AND SUPPLIES

Practice address

300B Beaman St
Clinton, NC 28328-2908

Phone

(910) 590-2332

Fax

(910) 590-2532

NPI assigned

May 8, 2009

Organization subpart

No

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

Authorized official

Name

Llewellyn Hicks

Title

Owner

Phone

(919) 592-2332

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1275767048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 MISSIONARY RIDGE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106349",
            "telephone_number": "910-590-2332",
            "fax_number": "910-590-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300B BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282908",
            "telephone_number": "910-590-2332",
            "fax_number": "910-590-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MEDICAL EQUIPMENT AND SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "LLEWELLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-592-2332"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "8109498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Clinton, NC
• Providers in Clinton, 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 May 8, 2009; 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.