NPIMap

Organization Active NPI

Medworx Home Medical Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Wilmington, NC
National Provider Identifier
1700329307
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDWORX HOME MEDICAL SUPPLIES, LLC
Practice address
109 Hinton Ave
Unit 13
Wilmington, NC 28403-4786
Phone
(864) 547-2200
Fax
(864) 547-2201
NPI assigned
Nov 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Daron Walters
Title
Owner
Phone
(601) 665-4094

Specialties & licenses 1

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

Addresses

Primary practice location

109 Hinton Ave
Unit 13
Wilmington, NC 28403-4786

Mailing address

109 Hinton Ave
Unit 13
Wilmington, NC 28403-4786
Phone (864) 547-2200

National Provider Directory

National Provider Directory
Tax ID family
Medworx Home Medical Supplies LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

109 Hinton Ave
Ste 13
Wilmington, NC 28403
Phone (864) 547-2200

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1700329307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HINTON AVE",
            "address_2": "UNIT 13",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034786",
            "telephone_number": "864-547-2200",
            "fax_number": "864-547-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HINTON AVE",
            "address_2": "UNIT 13",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034786",
            "telephone_number": "864-547-2200",
            "fax_number": "864-547-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWORX HOME MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "DARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-665-4094"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.