Nottap, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

65004896 Issued in SC

Legal business name

NOTTAP, INC.

Doing business as

Buford Street Home Medical
Buford Street Drug Store

Practice address

113 W Buford St
Gaffney, SC 29340-3001

Phone

(864) 488-2735

Fax

(864) 488-0316

NPI assigned

Sep 5, 2006

Last updated

Jun 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul Bradford Bailey, PHARM D.NPI 1861834848

Title

Owner

Phone

(864) 488-3036

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• BUFORD STREET HOME MEDICAL Doing business as
• Buford Street Drug Store Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Bradford Bailey, PHARM.D.

  • Pharmacist
  • Gaffney, SC
  • NPI 1861834848
  Authorized official Same address or phone

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1689776981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W BUFORD ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293403001",
            "telephone_number": "864-488-2735",
            "fax_number": "864-488-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W BUFORD ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293403001",
            "telephone_number": "864-488-2735",
            "fax_number": "864-488-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOTTAP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-488-3036",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "65004896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1519",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUFORD STREET HOME MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buford Street Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Gaffney, SC
• Providers in Gaffney, 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 Jun 22, 2022; 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.