Mom4Moms

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MOM4MOMS

Practice address

3905 W Beltline Blvd Ste 17
Columbia, SC 29204-1503

Phone

(803) 906-0216

NPI assigned

Dec 18, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Shanna Renee Graham

Title

Executive Director

Phone

(803) 552-9540

Specialties & licenses 1

Addresses

Other names 1

• South Carolina Diaper Bank Doing business as

Locations

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1689146409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 HARBOUR POINTE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297591",
            "telephone_number": "803-906-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 W BELTLINE BLVD STE 17",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041503",
            "telephone_number": "803-906-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOM4MOMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-552-9540",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Carolina Diaper Bank",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vidhath Reddy Moku, DO
• Maria Christine Moles
• Erica Molina, RD
• Katherine E. Mollo, DO
• Seth Shawn Molloy, D.O., M.S.
• Sireen Momani
• Rodrigo Mon, MD
• Rebecca Monastra
• Moncrief Army Community Hospital
• Moncrief Army Community Hospital

• Durable Medical Equipment & Medical Supplies in Columbia, SC
• Providers in Columbia, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.