Organization Active NPI

Sunshine Medical &Shoes

  • Preferred Provider Organization
  • Florence, SC
National Provider Identifier
1457727398
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
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

Updated by the provider on Aug 14, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10101974MedicaidSC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.