Forever Yours, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FOREVER YOURS, INC

Practice address

262 Koolabrew Drive
Calabash, NC 28467

Phone

(910) 579-3849

Fax

(910) 579-3749

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Thomas Puckett

Title

Owner

Phone

(910) 579-3849

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639210529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 KOOLABREW DRIVE",
            "city": "CALABASH",
            "state": "NC",
            "postal_code": "28467",
            "telephone_number": "910-579-3849",
            "fax_number": "910-579-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 KOOLABREW DRIVE",
            "city": "CALABASH",
            "state": "NC",
            "postal_code": "28467",
            "telephone_number": "910-579-3849",
            "fax_number": "910-579-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER YOURS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-579-3849"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desired Changes, PLLC
• Janenne E Ellis, PT
• Frederick R Ellwanger III, MD
• Empowher Health Services
• Michael John Fanning, DDS
• Ganglani Calabash PLLC (Deeb & Fanning, DDS, PA)
• Hannah Gaskins, FNP-C
• George L. Saunders, MD, PA
• Felicia Lavern Gore
• Cynthia Hadley, MD

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