Organization Active NPI

Carolyn a Mitchell

Doing business as Express Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Florence, SC
National Provider Identifier
1639197668
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CAROLYN A MITCHELL
Doing business as
Express Medical Supplies
Practice address
239B N McQueen Street
Florence, SC 29501
Phone
(843) 662-2902
Fax
(843) 662-6964
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Mrs. Carolyn A MitchellNPI 1427210723
Title
Owner Operator
Phone
(843) 662-2902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

239B N McQueen Street
Florence, SC 29501

Mailing address

239B N McQueen St
Florence, SC 29501-2501
Phone (843) 662-2902

Other identifiers 1

IdentifierTypeStateIssuer
DE2548MedicaidSC

Other names 1

  • Express Medical Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

239B N McQueen St
Florence, SC 29501
Phone (843) 662-2902

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1639197668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239B N MCQUEEN ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012501",
            "telephone_number": "843-662-2902",
            "fax_number": "843-662-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239B N MCQUEEN STREET",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29501",
            "telephone_number": "843-662-2902",
            "fax_number": "843-662-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN A MITCHELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "843-662-2902",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2548",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.