Organization Active NPI

Undies for Less

  • Durable Medical Equipment & Medical Supplies
  • Statesville, NC
National Provider Identifier
1508902347
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0700001749 Issued in NC
Legal business name
UNDIES FOR LESS
Practice address
120 East Broad St
Undies for Less
Statesville, NC 28677
Phone
(704) 838-0065
Fax
(704) 881-0234
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Miss Lillie M. Poole, CFBF
Title
Manager
Phone
(704) 838-0065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0700001749 NC Primary

Addresses

Primary practice location

120 East Broad St
Undies for Less
Statesville, NC 28677

Mailing address

120 East Broad St
Statesville, NC 28677
Phone (704) 838-0065

Other identifiers 2

IdentifierTypeStateIssuer
9119965MedicaidVA
7703542MedicaidNC

National Provider Directory

National Provider Directory

Locations

120 E Broad St
Statesville, NC 28677
Phone (704) 838-0065

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1508902347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EAST BROAD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "28677",
            "telephone_number": "704-838-0065",
            "fax_number": "704-881-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAST BROAD ST",
            "address_2": "UNDIES FOR LESS",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "28677",
            "telephone_number": "704-838-0065",
            "fax_number": "704-881-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDIES FOR LESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-838-0065",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CFBF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "0700001749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9119965",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703542",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.