Active NPI
Undies for Less
- Durable Medical Equipment & Medical Supplies
- Statesville, NC
National Provider Identifier
1508902347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0700001749
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9119965 | Medicaid | VA | |
| 7703542 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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
- Scott Michael Turner, PA
- Shenitra Turner, P-LCAS
- Emily Cheek Tuthill, FNP
- Elinor Kyle Tyner, LPC- A LICENSED PROF
- Umar Services, Inc
- Unifour Anesthesia Associates PA
- Justin John Upp, M.D.
- Urgent Cares of America North Carolina Inc
- Urgent Cares of America North Carolina Inc.
- James Anthony Vacca, DDS M SR O
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.