Organization Active NPI

Advantage Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Shallotte, NC
National Provider Identifier
1407065204
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00599 Issued in NU
Legal business name
ADVANTAGE MEDICAL SUPPLY
Practice address
146 Wall St
Shallotte, NC 28470-4510
Phone
(910) 754-2337
Fax
(910) 754-9249
NPI assigned
May 21, 2007
Last updated
Dec 26, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
ARY LIFT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Mr. Gene A Smith
Title
Owner
Phone
(910) 754-2337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00599 NU Primary

Addresses

Primary practice location

146 Wall St
Shallotte, NC 28470-4510

Mailing address

146 Wall St
Shallotte, NC 28470-4510
Phone (910) 754-2337

National Provider Directory

National Provider Directory
Part of
Ary Lift Inc

Locations

146 Wall St
Shallotte, NC 28470
Phone (910) 754-2337

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1407065204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 WALL ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704510",
            "telephone_number": "910-754-2337",
            "fax_number": "910-754-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 WALL ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704510",
            "telephone_number": "910-754-2337",
            "fax_number": "910-754-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE MEDICAL SUPPLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARY LIFT, INC.",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-754-2337",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": "00599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.