Seniors Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SENIORS MEDICAL SUPPLY

Doing business as

Seniors Medical Supply

Practice address

540 W Elm St
Graham, NC 27253-2158

Phone

(236) 227-0730

Fax

(336) 227-0732

NPI assigned

Dec 19, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Vanessa T. Coble, PHD

Title

President / Owner

Phone

(336) 227-0730

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Seniors Medical Supply Doing business as

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1548246804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 WEST ELM STREET",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272532158",
            "telephone_number": "236-227-0730",
            "fax_number": "336-227-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W ELM ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272532158",
            "telephone_number": "236-227-0730",
            "fax_number": "336-227-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORS MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "COBLE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "336-227-0730",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "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": "7704282",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "046TK",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010186889",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seniors Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Seniors Medical Supply
• Shauna R Woody DDS PLLC
• Mary Lyndall Shoffner
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• Small World Therapy P.a.

• Durable Medical Equipment & Medical Supplies in Graham, NC
• Providers in Graham, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.