Active NPI
Sunshine Medical &Shoes
- Preferred Provider Organization
- Florence, SC
National Provider Identifier
1457727398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- Legal business name
- SUNSHINE MEDICAL &SHOES
- Practice address
- 2012 Glenmore Way
Florence, SC 29505-6851 - Phone
- (954) 709-4476
- Fax
- (843) 669-9258
- NPI assigned
- Aug 14, 2015
- 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
- Barbara Nixon
- Title
- Owner
- Phone
- (954) 709-4476
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | FL | Primary | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | SC |
Addresses
Primary practice location
2012 Glenmore Way
Florence, SC 29505-6851
Mailing address
4001 E Palmetto St Ste 4
Florence, SC 29506-4213
Phone (843) 206-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10101974 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
4001 E Palmetto St
Ste 4
Florence, SC 29506
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Florence, SC
- NPI 1952740326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439510400000",
"number": "1457727398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 E PALMETTO ST STE 4",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295064213",
"telephone_number": "843-206-3800",
"fax_number": "843-669-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 GLENMORE WAY",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295056851",
"telephone_number": "954-709-4476",
"fax_number": "843-669-9258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSHINE MEDICAL &SHOES",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-14",
"last_updated": "2015-08-14",
"status": "A",
"authorized_official_last_name": "NIXON",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-709-4476"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "SC",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10101974",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.