Shoe Repair Plus, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SHOE REPAIR PLUS, LLC

Practice address

421 S Irby St
Florence, SC 29501-4709

Phone

(843) 662-9930

NPI assigned

Oct 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jay Marshall Flowers, C.PED.

Title

Owner

Phone

(843) 662-9930

Specialties & licenses 1

Addresses

Other names 1

• Shoe Repair Plus, LLC Former legal business name

Locations

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

{
    "created_epoch": "1160265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192924800000",
    "number": "1891882015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014709",
            "telephone_number": "843-662-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014709",
            "telephone_number": "843-662-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOE REPAIR PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-08",
        "last_updated": "2007-10-21",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-662-9930",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoe Repair Plus, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hany S Shenouda, MD
• Solomon Sheriod Jr.
• Kathryn Sherrill, PHARMD
• Stuart J. Shields, LMSW
• Amy Shockley, APRN
• Jamie Solaine Shorter
• Tammy Stuckey Shortt, FNP-BC
• Smarika Shrestha, M.D.
• Shri Aarna Inc
• Fnu Shruti

• Durable Medical Equipment & Medical Supplies in Florence, SC
• Providers in Florence, 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 Oct 21, 2007; 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.