Individual provider Active NPI

Shawn Pinkston

  • Durable Medical Equipment & Medical Supplies
  • Mount Pleasant, SC
National Provider Identifier
1609402296
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
856 Lowcountry Blvd Ste 101
Mount Pleasant, SC 29464-3181
Phone
(843) 814-5472
NPI assigned
Mar 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 1

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

Addresses

Primary practice location

856 Lowcountry Blvd Ste 101
Mount Pleasant, SC 29464-3181

Mailing address

295 Seven Farms Dr Ste C117
Daniel Island, SC 29492-8001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CB Medical LLC Durable Medical Equipment & Medical Supplies CurrentSince Apr 19, 2020 Accepting new patients
Collective Medical, LLC Durable Medical Equipment & Medical Supplies CurrentSince Mar 29, 2020 Accepting new patients

Locations

295 Seven Farms Dr
Ste C117
Daniel Island, SC 29492

856 Lowcountry Blvd
Ste 101
Mount Pleasant, SC 29464
Phone (843) 814-5472

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1609402296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 SEVEN FARMS DR STE C117",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 LOWCOUNTRY BLVD STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643181",
            "telephone_number": "843-814-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKSTON",
        "first_name": "SHAWN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.