The Medical Warehouse & Service Center, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

00493 Issued in NC

Legal business name

THE MEDICAL WAREHOUSE & SERVICE CENTER, LLC

Practice address

657 Gralin St
Kernersville, NC 27284-3457

Phone

(336) 803-2516

Fax

(336) 996-3178

NPI assigned

Feb 13, 2007

Last updated

Feb 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. M. Brian Keith

Title

Owner

Phone

(336) 803-2516

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Used Medical Warehouse, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1346382561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 GRALIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843457",
            "telephone_number": "336-803-2516",
            "fax_number": "336-996-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 GRALIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843457",
            "telephone_number": "336-803-2516",
            "fax_number": "336-996-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL WAREHOUSE & SERVICE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-803-2516",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "00493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703507",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Used Medical Warehouse, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Davis Banks Templeton, PT DPT
• Teresa G. Biggerstaff, DDS, MD, PA (Advanced Oral & Facial Surgery of the Triad)
• Ginger G Terry
• Kathleen Lou Thach, L.P.C.
• Janet Lynn Thacker, NP
• The Moses H Cone Memorial Hospital Operating Corporation (Cone Health Outpatient Rehabilitation at Medcenter Kernersville)
• The Moses H. Cone Memorial Hospital Operating Corporation (MedCenter Urgent Care Kernersville)
• The Moses H. Cone Memorial Hospital Operating Corporation
• Jennifer N. Thoman, PT
• Angela Thomas

• Customized Equipment (DME) in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.