Racc Distribution LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RACC DISTRIBUTION LLC

Practice address

136 Sandefur Rd
Kathleen, GA 31047-2007

Phone

(478) 731-9050

NPI assigned

Mar 23, 2022

Last updated

Mar 23, 2022By 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

Robby Camp

Title

Owner

Phone

(478) 731-9050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1639828718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SANDEFUR RD",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472007",
            "telephone_number": "478-731-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SANDEFUR RD",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472007",
            "telephone_number": "478-731-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACC DISTRIBUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "ROBBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-731-9050"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Kathleen, GA
• Providers in Kathleen, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.