NPIMap

Organization Active NPI

Pee Dee Home Medical Supply

  • Oxygen Equipment & Supplies (DME)
  • Dillon, SC
National Provider Identifier
1366822512
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
PEE DEE HOME MEDICAL SUPPLY
Practice address
801 Highway 301 N Unit a
Dillon, SC 29536-2467
Phone
(843) 841-9003
NPI assigned
Jun 3, 2015
Last updated
Jun 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Carl Altman
Title
Owner / President
Phone
(843) 841-9003

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dialysis Equipment & Supplies (DME) 332BD1200X SC
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X SC
Oxygen Equipment & Supplies (DME) 332BX2000X NC Primary

Addresses

Primary practice location

801 Highway 301 N Unit a
Dillon, SC 29536-2467

Mailing address

801 Highway 301 N Unit a
Dillon, SC 29536-2467
Phone (843) 841-9003

Other identifiers 1

IdentifierTypeStateIssuer
DE1854MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Pee Dee Home Medical Supply 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.

Locations

801 Highway 301 N
Unit A
Dillon, SC 29536
Phone (843) 841-9003

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1366822512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 HIGHWAY 301 N UNIT A",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362467",
            "telephone_number": "843-841-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HIGHWAY 301 N UNIT A",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362467",
            "telephone_number": "843-841-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE HOME MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "843-841-9003"
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1854",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.