States Medical Products, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

01335 Issued in NC

Legal business name

STATES MEDICAL PRODUCTS, LLC

Practice address

911 Linden Ave
Suite 115
Oxford, NC 27565-3652

Phone

(919) 603-6904

Fax

(919) 603-6905

NPI assigned

Sep 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Nnenna Cornett

Title

Ceo/Director

Phone

(919) 603-6904

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1962696724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 LINDEN AVE",
            "address_2": "SUITE 115",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653652",
            "telephone_number": "919-603-6904",
            "fax_number": "919-603-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 LINDEN AVE",
            "address_2": "SUITE 115",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653652",
            "telephone_number": "919-603-6904",
            "fax_number": "919-603-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATES MEDICAL PRODUCTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "CORNETT",
        "authorized_official_first_name": "NNENNA",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "919-603-6904",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "01335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PHARMACY",
            "identifier": "01335",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William J Soffera, PHARMD, RPH
• David Lambert Solomon III, DPT
• Southern Living for Seniors of Oxford NC LLC
• Donna Bryan Spears, DDS
• Shanna R Sprinkle, MD, MPH
• Colby Lee Stevens, PT
• Amy Marie Still, LCSW
• Andrew Edward Stock, M.D.
• Cindy Stovall
• John M Strittmatter, M.D.

• Durable Medical Equipment & Medical Supplies in Oxford, NC
• Providers in Oxford, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.