Organization Active NPI

Premier Med Supply

  • Durable Medical Equipment & Medical Supplies
  • Mooresville, NC
National Provider Identifier
1730337437
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PREMIER MED SUPPLY
Practice address
306 W Plaza Dr Unit B016
Mooresville, NC 28117-6920
Phone
(704) 660-1222
NPI assigned
Sep 5, 2008
Last updated
Oct 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Ms. Beatrice Sherrill
Title
Manager
Phone
(704) 660-1222

Specialties & licenses 1

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

Addresses

Primary practice location

306 W Plaza Dr Unit B016
Mooresville, NC 28117-6920

Mailing address

108 North Main Street
Mt Holly, NC 28120-6920
Phone (704) 660-1222

National Provider Directory

National Provider Directory

Locations

306 W Plaza Dr
Unit B16
Mooresville, NC 28117
Phone (704) 660-1222

108 N Main St
Mt Holly, NC 28120
Phone (704) 827-8978

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1730337437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 NORTH MAIN STREET",
            "city": "MT HOLLY",
            "state": "NC",
            "postal_code": "281206920",
            "telephone_number": "704-660-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W PLAZA DR UNIT B016",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176920",
            "telephone_number": "704-660-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MED SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "SHERRILL",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-660-1222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.