Cce Medical & Nursing Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CCE MEDICAL & NURSING SUPPLIES

Practice address

3217 Barlborough Way
Virginia Beach, VA 23453-3050

Phone

(757) 672-4288

Fax

(757) 301-6348

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Theresa Carbajal Mashtare, LPN

Title

Administrator

Phone

(757) 672-4288

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508981655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 HOLLAND RD STE 784 PMB 669",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521941",
            "telephone_number": "757-672-4288",
            "fax_number": "757-301-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 BARLBOROUGH WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234533050",
            "telephone_number": "757-672-4288",
            "fax_number": "757-301-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCE MEDICAL & NURSING SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASHTARE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "CARBAJAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-672-4288",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.