Active NPI
Brogden Corporation
- Durable Medical Equipment & Medical Supplies
- Summerfield, NC
National Provider Identifier
1376866699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 08993
- Legal business name
- BROGDEN CORPORATION
- Practice address
- 4446 US Highway 220 N Ste C
Summerfield, NC 27358-9415 - Phone
- (336) 644-7058
- Fax
- (336) 644-7297
- NPI assigned
- Mar 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Harry Lee Brogden Jr., RPH
- Title
- Owner
- Phone
- (336) 644-7058
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 08993 | NC | Primary |
Addresses
Primary practice location
4446 US Highway 220 N Ste C
Summerfield, NC 27358-9415
Mailing address
4446 US Highway 220 N Ste C
Summerfield, NC 27358-9415
Phone (336) 644-7058
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7704343 | Other | NC | MEDICAID DME |
| 0418181 | Medicaid | NC |
Other names 1
- SUMMERFIELD PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Brogden Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Summerfield, NC
- NPI 1285861310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267488000000",
"number": "1376866699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4446 US HIGHWAY 220 N STE C",
"city": "SUMMERFIELD",
"state": "NC",
"postal_code": "273589415",
"telephone_number": "336-644-7058",
"fax_number": "336-644-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4446 US HIGHWAY 220 N STE C",
"city": "SUMMERFIELD",
"state": "NC",
"postal_code": "273589415",
"telephone_number": "336-644-7058",
"fax_number": "336-644-7297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROGDEN CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-02",
"last_updated": "2010-03-02",
"status": "A",
"authorized_official_last_name": "BROGDEN",
"authorized_official_first_name": "HARRY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-644-7058",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "08993",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "7704343",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0418181",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SUMMERFIELD PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Summerfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.