Organization Active NPI

Charleston Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Charleston, WV
National Provider Identifier
1326589367
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CHARLESTON MEDICAL SUPPLIES
Practice address
3501 Maccorkle Ave SE
Charleston, WV 25304-1419
Phone
(304) 693-2754
Fax
(844) 367-0015
NPI assigned
Mar 9, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Zeeshan Haq
Title
Administrator
Phone
(304) 693-2754

National Provider Directory

National Provider Directory

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

3501 Maccorkle Ave SE
Charleston, WV 25304-1419

Mailing address

3501 Maccorkle Ave SE
Charleston, WV 25304-1419
Phone (304) 693-2754

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 12, 2017.

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1326589367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041419",
            "telephone_number": "304-693-2754",
            "fax_number": "844-367-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041419",
            "telephone_number": "304-693-2754",
            "fax_number": "844-367-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "HAQ",
        "authorized_official_first_name": "ZEESHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-693-2754"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.