Organization Active NPI

University Medical Services & Suppl

  • Nursing Facility Supplies (DME)
  • Columbia, SC
National Provider Identifier
1427239169
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
License
040 70930 4 Issued in SC
Legal business name
UNIVERSITY MEDICAL SERVICES & SUPPL
Practice address
6941 North Trenholm Road Suite 0-103
Pinnacle Professional Park
Columbia, SC 29206-1729
Phone
(803) 782-0761
Fax
(803) 782-0762
NPI assigned
Nov 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Authorized official

Name
Mr. Alfred William McFarlin Jr., REGISTERED NURSE
Title
Administrator
Phone
(803) 319-1805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X 040 70930 4 SC Primary

Addresses

Primary practice location

6941 North Trenholm Road Suite 0-103
Pinnacle Professional Park
Columbia, SC 29206-1729

Mailing address

PO Box 2734
West Columbia, SC 29171-2734
Phone (803) 319-1805

Other identifiers 1

IdentifierTypeStateIssuer
DE3099MedicaidSC

National Provider Directory

National Provider Directory

Locations

6941 N Trenholm Rd
Ste 103
Columbia, SC 29206
Phone (803) 782-0761

6941 N Trenholm Rd
Ste M2
Columbia, SC 29206
Phone (803) 782-0761

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1427239169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2734",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291712734",
            "telephone_number": "803-319-1805",
            "fax_number": "803-796-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6941 NORTH TRENHOLM ROAD SUITE 0-103",
            "address_2": "PINNACLE PROFESSIONAL PARK",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292061729",
            "telephone_number": "803-782-0761",
            "fax_number": "803-782-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY MEDICAL SERVICES & SUPPL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "MCFARLIN",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-319-1805",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "SC",
            "license": "040 70930 4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE3099",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.