Organization Active NPI

Woodruff Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Charleston, SC
National Provider Identifier
1669704136
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2996 Issued in SC
Legal business name
WOODRUFF MEDICAL SUPPLY
Practice address
1019 Physicians Dr
Charleston, SC 29414-5746
Phone
(843) 571-5366
Fax
(843) 571-5659
NPI assigned
Feb 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Dr. Stephanie Woodruff, DCNPI 1811903818
Title
Owner
Phone
(843) 571-5366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2996 SC Primary

Addresses

Primary practice location

1019 Physicians Dr
Charleston, SC 29414-5746

Mailing address

1019 Physician Dr
Charleston, SC 29414-5746
Phone (843) 571-5366

National Provider Directory

National Provider Directory

Locations

8410 Rivers Ave
North Charleston, SC 29406
Phone (843) 797-5700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1669704136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 PHYSICIAN DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145746",
            "telephone_number": "843-571-5366",
            "fax_number": "843-571-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 PHYSICIANS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145746",
            "telephone_number": "843-571-5366",
            "fax_number": "843-571-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODRUFF MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-571-5366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "2996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.