Organization Active NPI

Superior Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • High Point, NC
National Provider Identifier
1972718856
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
149974 Issued in NC
Legal business name
SUPERIOR MEDICAL SUPPLY INC
Practice address
810 Eastchester Dr
High Point, NC 27262-7640
Phone
(336) 885-5715
Fax
(336) 885-7036
NPI assigned
May 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Miss Malaysia Castle
Title
Manager
Phone
(336) 885-5715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 149974 NC Primary

Addresses

Primary practice location

810 Eastchester Dr
High Point, NC 27262-7640

Mailing address

810 Eastchester Dr
High Point, NC 27262-7640
Phone (336) 885-5715

Other identifiers 1

IdentifierTypeStateIssuer
7704427MedicaidNC

National Provider Directory

National Provider Directory

Locations

810 Eastchester Dr
High Point, NC 27262
Phone (336) 885-5715

NPI Registry JSON

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1972718856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 EASTCHESTER DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627640",
            "telephone_number": "336-885-5715",
            "fax_number": "336-885-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 EASTCHESTER DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627640",
            "telephone_number": "336-885-5715",
            "fax_number": "336-885-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-13",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "MALAYSIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-885-5715",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "149974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704427",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.