Mission Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00921 Issued in NC

Legal business name

MISSION MEDICAL SUPPLY INC

Practice address

1897 North Hwy 16
Denver, NC 28037

Phone

(704) 489-6362

Fax

(704) 489-6360

NPI assigned

Jan 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Eugene Brown

Title

President

Phone

(704) 489-6360

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639159759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1897 NORTH HWY 16",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "28037",
            "telephone_number": "704-489-6362",
            "fax_number": "704-489-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 NORTH HWY 16",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "28037",
            "telephone_number": "704-489-6362",
            "fax_number": "704-489-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-489-6360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704018",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael P. Muckler, DDS, PA
• Kelli A Miller, APRN
• Ashley Caroline Mills, MSW, LCSW
• Taquita Milner, NURSE PRACTITIONER
• Erica Minyard
• Eileen Mittmann, PT
• Paige Harrison Mohr, DPT
• Krista M Mohrmann
• Mooresville PPM LLC
• Jeffrey Taylor Moss, DO

• Durable Medical Equipment & Medical Supplies in Denver, NC
• Providers in Denver, 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 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.