NPIMap

Organization Active NPI

Family Medical Supply LLC

  • Mail Order Pharmacy
  • Dunn, NC
National Provider Identifier
1386744407
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
08399 Issued in NC
Legal business name
FAMILY MEDICAL SUPPLY LLC
Practice address
2005 W Cumberland St
Suite 200
Dunn, NC 28334-4447
Phone
(910) 892-7113
Fax
(910) 892-8166
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Authorized official

Name
Stephen Griggs
Title
Ceo
Phone
(407) 206-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X 08399 NC Primary

Addresses

Primary practice location

2005 W Cumberland St
Suite 200
Dunn, NC 28334-4447

Mailing address

220 W Germantown Pike Ste 250
Plymouth Meeting, PA 19462-1437
Phone (610) 630-6357

Other identifiers 1

IdentifierTypeStateIssuer
0490TOtherNCBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Family Medical Supply LLC20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

2005 W Cumberland St
#200
Dunn, NC 28334
Phone (910) 892-7113

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1386744407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W GERMANTOWN PIKE STE 250",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621437",
            "telephone_number": "610-630-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 W CUMBERLAND ST",
            "address_2": "SUITE 200",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344447",
            "telephone_number": "910-892-7113",
            "fax_number": "910-892-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-206-0040"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NC",
            "license": "08399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0490T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.