Organization Active NPI

D& J Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Florence, SC
National Provider Identifier
1649364605
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
D& J MEDICAL SUPPLIES
Practice address
3658 Irby St.
B
Florence, SC 29501-6951
Phone
(843) 413-9577
Fax
(843) 665-2971
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Mrs. Dorothy Ervins
Title
Owner
Phone
(843) 665-2971

Specialties & licenses 1

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

Addresses

Primary practice location

3658 Irby St.
B
Florence, SC 29501-6951

Mailing address

3658B Irby
Florence, SC 29501-6951
Phone (843) 413-9577

Other identifiers 1

IdentifierTypeStateIssuer
DE2443MedicaidSC

National Provider Directory

National Provider Directory

Locations

3658B S Irby St
Florence, SC 29505

3658 S Irby St
#B
Florence, SC 29505
Phone (843) 413-9577

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1649364605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3658B IRBY",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016951",
            "telephone_number": "843-413-9577",
            "fax_number": "843-665-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3658 IRBY ST.",
            "address_2": "B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016951",
            "telephone_number": "843-413-9577",
            "fax_number": "843-665-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D& J MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "ERVINS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-665-2971",
        "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": "DE2443",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 1, 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.