Organization Active NPI

Kovine Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Greensboro, NC
National Provider Identifier
1699776088
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
600442227 Issued in NC
Legal business name
KOVINE MEDICAL SUPPLY, INC.
Practice address
620 S Elm St
Ste 374
Greensboro, NC 27406-1398
Phone
(336) 398-9343
Fax
(336) 389-9334
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Mr. Kpoto Okon Isangedighi
Title
Owner
Phone
(336) 389-9343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 600442227 NC Primary

Addresses

Primary practice location

620 S Elm St
Ste 374
Greensboro, NC 27406-1398

Mailing address

620 S Elm St
Ste 374
Greensboro, NC 27406-1398
Phone (336) 398-9343

National Provider Directory

National Provider Directory

Locations

620 S Elm St
Ste 374
Greensboro, NC 27406
Phone (336) 389-9343

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1699776088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S ELM ST",
            "address_2": "STE 374",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274061398",
            "telephone_number": "336-398-9343",
            "fax_number": "336-389-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S ELM ST",
            "address_2": "STE 374",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274061398",
            "telephone_number": "336-398-9343",
            "fax_number": "336-389-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOVINE MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "ISANGEDIGHI",
        "authorized_official_first_name": "KPOTO",
        "authorized_official_middle_name": "OKON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-389-9343",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "600442227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.