Active NPI
Beam & Putnam Inc.
- Durable Medical Equipment & Medical Supplies
- Gastonia, NC
National Provider Identifier
1295855799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 07051
- Legal business name
- BEAM & PUTNAM INC.
- Practice address
- 701 W Franklin Blvd
Gastonia, NC 28052-3830 - Phone
- (704) 867-9611
- Fax
- (704) 864-7466
- NPI assigned
- Mar 29, 2007
- 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
- Mr. Thomas Shane Barnes, PHARMACIST
- Title
- Manager
- Phone
- (704) 867-9611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 07051 | NC | Primary |
Addresses
Primary practice location
701 W Franklin Blvd
Gastonia, NC 28052-3830
Mailing address
701 W Franklin Blvd
Gastonia, NC 28052-3830
Phone (704) 867-9611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0366129 | Medicaid | NC |
Other names 1
- mossdrugstore
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256515200000",
"number": "1295855799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W FRANKLIN BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280523830",
"telephone_number": "704-867-9611",
"fax_number": "704-864-7466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W FRANKLIN BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280523830",
"telephone_number": "704-867-9611",
"fax_number": "704-864-7466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAM & PUTNAM INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2009-10-26",
"status": "A",
"authorized_official_last_name": "BARNES",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "SHANE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "704-867-9611",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "07051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0366129",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "mossdrugstore",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.