Active NPI
Warden Enterprise, Inc
- Durable Medical Equipment & Medical Supplies
- Yadkinville, NC
National Provider Identifier
1558765081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WARDEN ENTERPRISE, INC
- Practice address
- 246 E Main St
Yadkinville, NC 27055-8259 - Phone
- (336) 849-8034
- Fax
- (336) 849-8006
- NPI assigned
- Oct 13, 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
- Randy T Warden
- Title
- Pwner
- Phone
- (336) 849-8034
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
246 E Main St
Yadkinville, NC 27055-8259
Mailing address
PO Box 746
Yadkinville, NC 27055-0746
Phone (336) 849-8034
National Provider Directory
National Provider DirectoryLocations
246 E Main St
Yadkinville, NC 27055
Phone (336) 849-8034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413158400000",
"number": "1558765081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270550746",
"telephone_number": "336-849-8034",
"fax_number": "336-849-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 E MAIN ST",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270558259",
"telephone_number": "336-849-8034",
"fax_number": "336-849-8006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARDEN ENTERPRISE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-13",
"last_updated": "2014-10-13",
"status": "A",
"authorized_official_last_name": "WARDEN",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PWNER",
"authorized_official_telephone_number": "336-849-8034"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yadkinville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.