Active NPI
SMR Medical Supplies LLC
- Durable Medical Equipment & Medical Supplies
- Charlotte, NC
National Provider Identifier
1518795145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SMR MEDICAL SUPPLIES LLC
- Practice address
- 6054 Barrington Dr
Charlotte, NC 28215-2618 - Phone
- (704) 454-2558
- NPI assigned
- Jul 24, 2024
- 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
- Ms. Tiyana B Smith
- Title
- Owner
- Phone
- (704) 454-2558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
6054 Barrington Dr
Charlotte, NC 28215-2618
Mailing address
6054 Barrington Dr
Charlotte, NC 28215-2618
Phone (704) 454-2558
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721779200000",
"number": "1518795145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6054 BARRINGTON DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282152618",
"telephone_number": "704-454-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6054 BARRINGTON DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282152618",
"telephone_number": "704-454-2558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMR MEDICAL SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "TIYANA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-454-2558",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.