Organization Active NPI

Sharon Jordan

  • Durable Medical Equipment & Medical Supplies
  • Lexington, SC
National Provider Identifier
1528034634
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHARON JORDAN
Practice address
570 Boiling Springs Rd
Lexington, SC 29073-8307
Phone
(866) 772-3557
Fax
(803) 894-5928
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sharon Jordan
Title
Sole Proprietor
Phone
(866) 772-3557

Specialties & licenses 1

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

Addresses

Primary practice location

570 Boiling Springs Rd
Lexington, SC 29073-8307

Mailing address

PO Box 84114
Lexington, SC 29073-0002
Phone (866) 772-3557

Other identifiers 1

IdentifierTypeStateIssuer
DE2163MedicaidSC

Other names 1

  • PRESSURE RELIEF SERVICES Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528034634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84114",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290730002",
            "telephone_number": "866-772-3557",
            "fax_number": "803-894-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 BOILING SPRINGS RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290738307",
            "telephone_number": "866-772-3557",
            "fax_number": "803-894-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON JORDAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "866-772-3557",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2163",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESSURE RELIEF SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

  • 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.