Organization Active NPI

Star Wholesalers LLC

  • Durable Medical Equipment & Medical Supplies
  • Greenville, SC
National Provider Identifier
1538588694
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
STAR WHOLESALERS LLC
Doing business as
Easy Life Medical Supply
Practice address
4295 Augusta Rd
Suite 901
Greenville, SC 29605-1320
Phone
(404) 906-6722
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Mr. Mohan Thakare
Title
Manager
Phone
(404) 906-6722

Specialties & licenses 1

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

Addresses

Primary practice location

4295 Augusta Rd
Suite 901
Greenville, SC 29605-1320

Mailing address

4295 Augusta Rd
Suite 901
Greenville, SC 29605-1320
Phone (404) 906-6722

Other names 1

  • Easy Life Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

4295 Augusta Rd
Ste 901
Greenville, SC 29605
Phone (404) 906-6722

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1538588694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 AUGUSTA RD",
            "address_2": "SUITE 901",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051320",
            "telephone_number": "404-906-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 AUGUSTA RD",
            "address_2": "SUITE 901",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051320",
            "telephone_number": "404-906-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR WHOLESALERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "THAKARE",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-906-6722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easy Life Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.