PEE DEE HOME MEDICAL SUPPLY (NPI# 1366822512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366822512 |
| Entity Type | Organization |
| Organization Name | PEE DEE HOME MEDICAL SUPPLY |
| Practice Address |
801 Highway 301 N Unit A Dillon SC 29536-2467 |
| Practice Telephone | 8438419003 |
| Mailing Telephone | 8438419003 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |
| Authorized Official Name | CARL ALTMAN (OWNER / PRESIDENT) |
| Authorized Official Telephone | 8438419003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
SC | Suppliers | |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
SC | Suppliers | |
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DE1854 | 05 |
| Street Address |
801 HIGHWAY 301 N UNIT A |
| City | DILLON |
| State | SC |
| Zip Code | 29536-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648858 | Melanie Daniels Smith | Registered Nurse | 1803 Joan Drive, Dillon, SC 29536 | 2020-10-26 |
| 1740888197 | Ashlyn Syvanna Arnette | Registered Nurse | 1001 West Calhoun Street, Dillon, SC 29536 | 2020-10-16 |
| 1245846179 | Chasity Nichole Chavis | Registered Nurse | 2159 Hwy 9 West, Dillon, SC 29536 | 2020-09-16 |
| 1376047811 | Medysis Healthcare | Home Health | 1000 N. Us 301, Dillon, SC 29536 | 2018-03-20 |
| 1548768278 | Medysis Healthcare | Home Health | 1000 N. Us-301, Dillon, SC 29536 | 2018-01-29 |
| 1639547565 | Tynia S Thomas | Counselor | 1324 Commerce, Dillon, SC 29536 | 2015-09-09 |
| 1528457967 | David Brown | Pharmacist | 804 Enterprise Rd, Dillon, SC 29536 | 2015-01-22 |
| 1891103701 | Fairlynn Grooms | Pharmacist | 611 U.S. 301 Highway, Dillon, SC 29536 | 2014-07-24 |
| 1790035483 | Lindsay Elizabeth Hyduke | Pharmacist | 1211 Hwy 301 North, Dillon, SC 29536 | 2012-09-11 |
| 1386932838 | Nardin Nabil Khalil | Family Medicine | 603 North 6th Avenue, Dillon, SC 29536 | 2011-07-19 |
| Find all providers in zip 29536 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475000 | Summit O2 & Health Care, Inc | Durable Medical Equipment & Medical Supplies | 91 Redtail Ct, Dillon, CO 80435-8458 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316562440 | Beacon Respiratory Services of Georgia, Inc. | Durable Medical Equipment & Medical Supplies | 959 By Pass 123, Seneca, SC 29678-4705 | 2020-06-15 |
| 1144844457 | Hometown Oxygen Charlotte LLC | Durable Medical Equipment & Medical Supplies | 2154 N Center St Ste 306c, North Charleston, SC 29406-4082 | 2020-06-02 |
| 1861040560 | Trans Ox Inc | Durable Medical Equipment & Medical Supplies | 3469 Leaphart Rd, West Columbia, SC 29169-3029 | 2019-08-27 |
| 1407418775 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 610 Columbiana Dr Ste 200, Columbia, SC 29212-0728 | 2019-07-07 |
| 1467960708 | Hometown Oxygen Charlotte LLC | Durable Medical Equipment & Medical Supplies | 1700 Alta Vista Dr Ste 250, Columbia, SC 29223-4559 | 2018-01-22 |
| 1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
| 1275978389 | Abc Medical of Charleston LLC | Durable Medical Equipment & Medical Supplies | 105 Hughes St, Summerville, SC 29483-4228 | 2013-05-02 |
| 1194066704 | Low Country Home Medical Equipment Company, Inc. | Durable Medical Equipment & Medical Supplies | 1104 N Jefferies Blvd, Walterboro, SC 29488-2730 | 2013-03-06 |
| 1841548047 | Medical Comfort Systems | Durable Medical Equipment & Medical Supplies | 1707 W Evans St, Florence, SC 29501-3331 | 2012-08-17 |
| 1780959825 | Mqp Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 115 W. Buford St., Gaffney, SC 29340 | 2012-03-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.