Active NPI
Southerm Medical and Equipment Sales, L.P.
- Durable Medical Equipment & Medical Supplies
- Pink Hill, NC
National Provider Identifier
1992803027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 01118
- Legal business name
- SOUTHERM MEDICAL AND EQUIPMENT SALES, L.P.
- Practice address
- 4459 Tarheel Drive
Suite D
Pink Hill, NC 28572 - Phone
- (252) 568-9945
- Fax
- (252) 568-3923
- NPI assigned
- Sep 20, 2006
- Last updated
- Mar 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chad Terry
- Title
- President
- Phone
- (252) 568-9945
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 01118 | NC | Primary |
Addresses
Primary practice location
4459 Tarheel Drive
Suite D
Pink Hill, NC 28572
Mailing address
4459 Tarheel Drive
Suite D
Pink Hill, NC 28572
Phone (252) 568-9945
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7704728 | Medicaid | NC | |
| 01118 | Other | NC | BOARD OF PHARMACY LIC |
National Provider Directory
National Provider DirectoryLocations
4459 Tarheel Dr
#D
Pink Hill, NC 28572
Phone (252) 568-9945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206921600000",
"number": "1992803027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4459 TARHEEL DRIVE",
"address_2": "SUITE D",
"city": "PINK HILL",
"state": "NC",
"postal_code": "28572",
"telephone_number": "252-568-9945",
"fax_number": "252-568-3923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4459 TARHEEL DRIVE",
"address_2": "SUITE D",
"city": "PINK HILL",
"state": "NC",
"postal_code": "28572",
"telephone_number": "252-568-9945",
"fax_number": "252-568-3923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERM MEDICAL AND EQUIPMENT SALES, L.P.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2008-03-31",
"status": "A",
"authorized_official_last_name": "TERRY",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "252-568-9945"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "01118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7704728",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY LIC",
"identifier": "01118",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pink Hill, NC
- Realo Discount Drug Stores of Pink Hill, Inc.
- Ricetta RX North Carolina LLC (Southern Pharmacy Services)
- Ricetta RX North Carolina, LLC (Southern Pharmacy Services)
- Chrystal T Rooks, D.D.S.
- Michaela Russ, RN, IBCLC
- Southern Associates of the Carolinas, Inc (Southern Pharmacy Services)
- Samantha Stancill, RN
- Lori Wells Stroud, NP
- Tar Heel Health Care Services, LLC (CenterWell Home Health)
- Jenny Westbrook, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.