Organization Active NPI

Shalem Medical Supplies, Inc

  • Oxygen Equipment & Supplies (DME)
  • Charlotte, NC
National Provider Identifier
1457598872
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SHALEM MEDICAL SUPPLIES, INC
Practice address
6636 E WT Harris Blvd
Suite # L
Charlotte, NC 28215-5133
Phone
(704) 315-5980
Fax
(877) 292-2817
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Mr. George K Cherian, NONE
Title
President
Phone
(704) 315-5980

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NC
Oxygen Equipment & Supplies (DME) 332BX2000X NC Primary

Addresses

Primary practice location

6636 E WT Harris Blvd
Suite # L
Charlotte, NC 28215-5133

Mailing address

6636 E. W.T. Harris Blvd
Suite # L
Charlotte, NC 28215
Phone (704) 315-5980

Other identifiers 1

IdentifierTypeStateIssuer
NONE YETOtherNCUNKNOWN

Other names 1

  • Shalem Medical Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

6636 E Wt Harris Blvd
Ste L
Charlotte, NC 28215
Phone (704) 315-5980

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1457598872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6636 E. W.T. HARRIS BLVD",
            "address_2": "SUITE # L",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28215",
            "telephone_number": "704-315-5980",
            "fax_number": "877-292-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6636 E WT HARRIS BLVD",
            "address_2": "SUITE # L",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155133",
            "telephone_number": "704-315-5980",
            "fax_number": "877-292-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALEM MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "CHERIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-315-5980",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NONE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "NONE YET",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shalem Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.