Active NPI
Star Wholesalers LLC
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
National Provider Identifier
1538588694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.