NPIMap

Organization Active NPI

Divine Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Raeford, NC
National Provider Identifier
1649658287
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
01700 Issued in NC
Legal business name
DIVINE MEDICAL SUPPLIES INC
Practice address
320 Birch St
Raeford, NC 28376
Phone
(910) 904-2377
Fax
(910) 904-2477
NPI assigned
May 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Mrs. Florine Fleming, RN
Title
Owner
Phone
(910) 904-2377

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 01700 NC Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 01700 NC

Addresses

Primary practice location

320 Birch St
Raeford, NC 28376

Mailing address

310 Birch St
Raeford, NC 28376-3297
Phone (910) 904-2377

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1649658287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BIRCH ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763297",
            "telephone_number": "910-904-2377",
            "fax_number": "910-904-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BIRCH ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "28376",
            "telephone_number": "910-904-2377",
            "fax_number": "910-904-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "FLORINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-904-2377",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "01700",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NC",
            "license": "01700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.