Active NPI
CFP
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
National Provider Identifier
1386806826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 023016326
- Legal business name
- CFP
- Practice address
- 103 Panorama CT
Greenville, SC 29611-7621 - Phone
- (864) 220-2883
- Fax
- (864) 220-2893
- NPI assigned
- Jun 26, 2008
- 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
- Ethel Lee Pasley
- Title
- Owner
- Phone
- (864) 220-2883
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 023016326 | SC | Primary |
Addresses
Primary practice location
103 Panorama CT
Greenville, SC 29611-7621
Mailing address
103 Panorama CT
Greenville, SC 29611-7621
Phone (864) 220-2883
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE2878 | Medicaid | SC | |
| EN2038 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216080000000",
"number": "1386806826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 PANORAMA CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296117621",
"telephone_number": "864-220-2883",
"fax_number": "864-220-2893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 PANORAMA CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296117621",
"telephone_number": "864-220-2883",
"fax_number": "864-220-2893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CFP",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-26",
"last_updated": "2008-07-15",
"status": "A",
"authorized_official_last_name": "PASLEY",
"authorized_official_first_name": "ETHEL",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-220-2883"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "SC",
"license": "023016326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DE2878",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EN2038",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.