NPIMap

Organization Active NPI

Top Form Inc.

Doing business as Top Form d/b/a A 2 Z Home Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Fayetteville, NC
National Provider Identifier
1336258169
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TOP FORM INC.
Doing business as
Top Form d/b/a A 2 Z Home Medical Supplies
Practice address
1708A Owen Drive
Fayetteville, NC 28304
Phone
(910) 484-0567
Fax
(910) 484-2692
NPI assigned
Aug 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Martin Gallan
Title
Ceo
Phone
(910) 484-0567

Specialties & licenses 1

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

Addresses

Primary practice location

1708A Owen Drive
Fayetteville, NC 28304

Mailing address

P O Box 1594
Wilmington, NC 28402
Phone (910) 392-5553

Other names 1

  • Top Form d/b/a A 2 Z Home Medical Supplies Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A2Z Home Medical Supplies Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336258169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1594",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28402",
            "telephone_number": "910-392-5553",
            "fax_number": "910-202-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708A OWEN DRIVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28304",
            "telephone_number": "910-484-0567",
            "fax_number": "910-484-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOP FORM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALLAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-484-0567",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Top Form d/b/a A 2 Z Home Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.