Active NPI
My Health Stores
- Durable Medical Equipment & Medical Supplies
- Evans, GA
National Provider Identifier
1649597964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 2009605646
- 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, 2011
- 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
- Mr. David Thomas
- Title
- Owner
- Phone
- (717) 940-8870
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.