Organization Active NPI

My Health Stores

  • Durable Medical Equipment & Medical Supplies
  • Evans, GA
National Provider Identifier
1649597964
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2009605646 Issued in DE
Legal business name
MY HEALTH STORES
Practice address
489 Columbia Industrial Blvd
Suite 102
Evans, GA 30809-6131
Phone
(877) 807-0670
Fax
(888) 352-5814
NPI assigned
Apr 26, 2010
Last updated
Apr 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Mr. David Thomas
Title
Owner
Phone
(717) 940-8870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2009605646 DE Primary

Addresses

Primary practice location

489 Columbia Industrial Blvd
Suite 102
Evans, GA 30809-6131

Mailing address

2807 Washington Rd Suite B#165
Augusta, GA 30909
Phone (877) 807-0670

National Provider Directory

National Provider Directory

Locations

2807 Washington Rd
Ste B165
Augusta, GA 30909

489 Columbia Industrial Blvd
Ste 102
Evans, GA 30809
Phone (706) 305-3533

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1649597964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 WASHINGTON RD SUITE B#165",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "877-807-0670",
            "fax_number": "888-352-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 COLUMBIA INDUSTRIAL BLVD",
            "address_2": "SUITE 102",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096131",
            "telephone_number": "877-807-0670",
            "fax_number": "888-352-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HEALTH STORES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-940-8870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "DE",
            "license": "2009605646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.