Organization Active NPI

Lane's Pharmacy & DME Inc

Doing business as Lanes Medical Shoppe

  • Oxygen Equipment & Supplies (DME)
  • Colquitt, GA
National Provider Identifier
1679567168
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
LANE'S PHARMACY & DME INC
Doing business as
Lanes Medical Shoppe
Practice address
210 W Main St
Suite 3
Colquitt, GA 39837-3433
Phone
(229) 758-9111
Fax
(229) 758-9000
NPI assigned
Sep 10, 2005
Last updated
Feb 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Mr. Larry Lane
Title
Ceo
Phone
(229) 758-9111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

210 W Main St
Suite 3
Colquitt, GA 39837-3433

Mailing address

210 W Main St
Suite 3
Colquitt, GA 39837-3433
Phone (229) 758-9111

Other names 1

  • LANES MEDICAL SHOPPE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lane's Pharmacy DME Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

210 W Main St
Ste 3
Colquitt, GA 39837
Phone (229) 758-9111

NPI Registry JSON

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

{
    "created_epoch": "1126310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1679567168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W MAIN ST",
            "address_2": "SUITE 3",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373433",
            "telephone_number": "229-758-9111",
            "fax_number": "229-758-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W MAIN ST",
            "address_2": "SUITE 3",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373433",
            "telephone_number": "229-758-9111",
            "fax_number": "229-758-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE'S PHARMACY & DME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-10",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-758-9111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANES MEDICAL SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colquitt, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.