Active NPI
D& J Medical Supplies
- Durable Medical Equipment & Medical Supplies
- Florence, SC
National Provider Identifier
1649364605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE2443 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.