Organization Active NPI

Carolina Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fayetteville, NC
National Provider Identifier
1629032552
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00889 Issued in NC
Legal business name
CAROLINA MEDICAL SUPPLIES, INC.
Practice address
2411 Robeson St
Suite 100
Fayetteville, NC 28305-5549
Phone
(910) 425-8202
Fax
(910) 426-0838
NPI assigned
Apr 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kristina Barber
Title
Manager
Phone
(910) 425-8202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00889 NC Primary

Addresses

Primary practice location

2411 Robeson St
Suite 100
Fayetteville, NC 28305-5549

Mailing address

2411 Robeson St
Suite 100
Fayetteville, NC 28305-5549
Phone (910) 425-8202

Other identifiers 1

IdentifierTypeStateIssuer
7704357MedicaidNC

National Provider Directory

National Provider Directory

Locations

2411 Robeson St
Ste 100
Fayetteville, NC 28305
Phone (910) 425-8202

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629032552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 ROBESON ST",
            "address_2": "SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055549",
            "telephone_number": "910-425-8202",
            "fax_number": "910-426-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 ROBESON ST",
            "address_2": "SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055549",
            "telephone_number": "910-425-8202",
            "fax_number": "910-426-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "910-425-8202",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704357",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.