NPIMap

Organization Active NPI

First Impressions Incontinent and Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Winnsboro, SC
National Provider Identifier
1356552871
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
EN2021 Issued in SC
Legal business name
FIRST IMPRESSIONS INCONTINENT AND MEDICAL SUPPLIES
Practice address
5 Deer Trace CT
Winnsboro, SC 29180-6004
Phone
(803) 735-3050
Fax
(803) 735-3059
NPI assigned
May 25, 2007
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
Mrs. Melanie Richmond Pearson
Title
Owner
Phone
(803) 735-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X EN2021 SC Primary

Addresses

Primary practice location

5 Deer Trace CT
Winnsboro, SC 29180-6004

Mailing address

5 Deer Trace CT
Winnsboro, SC 29180-6004
Phone (803) 635-2447

Other identifiers 1

IdentifierTypeStateIssuer
EN2021MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356552871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DEER TRACE CT",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291806004",
            "telephone_number": "803-635-2447",
            "fax_number": "803-735-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DEER TRACE CT",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291806004",
            "telephone_number": "803-735-3050",
            "fax_number": "803-735-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST IMPRESSIONS INCONTINENT AND MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "RICHMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-735-3050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "EN2021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EN2021",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, SC

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.