NPIMap

Organization Active NPI

Emily a Stacks

  • Durable Medical Equipment & Medical Supplies
  • Lancaster, SC
National Provider Identifier
1316124779
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EMILY A STACKS
Practice address
503 Shoreline Dr
Lancaster, SC 29720-6006
Phone
(803) 283-0870
Fax
(803) 283-3387
NPI assigned
Jan 29, 2008
Last updated
Nov 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Ms. Emily StacksNPI 1063503274
Title
Owner
Phone
(803) 283-0870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

503 Shoreline Dr
Lancaster, SC 29720-6006

Mailing address

503 Shoreline Dr
Lancaster, SC 29720-6006
Phone (803) 283-0870

Other identifiers 1

IdentifierTypeStateIssuer
DM0797MedicaidSC

Other names 1

  • Diabetic Supply Providers Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1316124779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 SHORELINE DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297206006",
            "telephone_number": "803-283-0870",
            "fax_number": "803-283-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 SHORELINE DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297206006",
            "telephone_number": "803-283-0870",
            "fax_number": "803-283-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY A STACKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "STACKS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-283-0870",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM0797",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetic Supply Providers",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.