Organization Active NPI

CFP

  • Durable Medical Equipment & Medical Supplies
  • Greenville, SC
National Provider Identifier
1386806826
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
023016326 Issued in SC
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

Updated by the provider on Jul 15, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DE2878MedicaidSC
EN2038MedicaidSC

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.