Organization Active NPI

Parker Road Drugs

Doing business as Parker Medical Equipment

  • Oxygen Equipment & Supplies (DME)
  • Woodruff, SC
National Provider Identifier
1356516991
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
PARKER ROAD DRUGS
Doing business as
Parker Medical Equipment
Practice address
339 S Main St
Woodruff, SC 29388-1831
Phone
(864) 476-9040
Fax
(864) 476-9042
NPI assigned
Apr 24, 2008
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Ms. Luanne Poplin
Title
Director of Operations
Phone
(864) 242-1101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

339 S Main St
Woodruff, SC 29388-1831

Mailing address

339 S Main St
Woodruff, SC 29388-1831
Phone (864) 476-9040

Other identifiers 1

IdentifierTypeStateIssuer
DME 458MedicaidSC

Other names 1

  • PARKER MEDICAL EQUIPMENT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Parker Road Drugs3 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.

Locations

339 S Main St
Woodruff, SC 29388
Phone (864) 476-2126

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1356516991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 S MAIN ST",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293881831",
            "telephone_number": "864-476-9040",
            "fax_number": "864-476-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 S MAIN ST",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293881831",
            "telephone_number": "864-476-9040",
            "fax_number": "864-476-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER ROAD DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "POPLIN",
        "authorized_official_first_name": "LUANNE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "864-242-1101",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME 458",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKER MEDICAL EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodruff, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.