Organization Active NPI

Warden Enterprise, Inc

  • Durable Medical Equipment & Medical Supplies
  • Yadkinville, NC
National Provider Identifier
1558765081
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Oct 13, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.