Moon'S Home Medical
Organization Active NPI Durable Medical Equipment & Medical Supplies · Westminster, SC
NPI 1831243955 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1831243955
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- MOON'S HOME MEDICAL
- Practice address
- 134 E Main St
Westminster, SC 29693-1753 - Phone
- (864) 647-8770
- Fax
- (864) 647-2906
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Jerry L Smith, RPH
- Title
- Owner
- Phone
- (864) 647-8770
National Provider Directory
Locations
134 E Main St
Westminster, SC 29693
Phone (864) 647-8770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | SC | Yes |
Addresses
Primary practice location
134 E Main St
Westminster, SC 29693-1753
Mailing address
134 E Main St
Westminster, SC 29693-1753
Phone (864) 647-8770
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME236 | Medicaid | SC |
Other providers in Westminster, SC
- Rhonda Maurice
- Savannah Butts McCauley
- Sherry McLaughlin
- Moon'S Drug Store, Inc.
- Moon'S Drug Store, Inc.
- Rebecca R. Moore
- Marsha Moorhead
- Mypalmetto EMS LLC
- Nathan Lee, PA
- Danielle Rebecca Newton
All providers in Westminster, SC · Durable Medical Equipment & Medical Supplies in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.