DOVE MEDICAL SUPPLY RETAIL LLC (NPI# 1508336058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508336058 |
| Entity Type | Organization |
| Organization Name | DOVE MEDICAL SUPPLY RETAIL LLC |
| Practice Address |
676 Hanes Mall Blvd Winston Salem NC 27103-5670 |
| Mailing Address |
8164 Mabe Marshall Rd Summerfield NC 27358-9225 |
| Practice Telephone | 3368425108 |
| Mailing Telephone | 3366439367 |
| Mailing Fax Number | 3364190160 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | MS. TAMMY D BRIDGES (CEO) |
| Authorized Official Telephone | 3366439367 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 960 S Main St, Kernersville, NC 272847487 | 3363651911 | 3364418900 |
| 7301 Summerfield Rd, Summerfield, NC 273589150 | 3364418900 | |
| 110 New Market, Madison, NC 270251539 | 3369499001 | |
| 2172 Lawndale Dr, Greensboro, NC 274087102 | 3365741489 | 3364190160 |
| 676 Hanes Mall Blvd, Winston Salem, NC 271035670 | 3368425108 |
| Street Address |
676 HANES MALL BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-5670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124663091 | H&w Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 301 N Main St Ste 1202, Winston Salem, NC 27101-3819 | 2019-11-14 |
| 1275175903 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 255a Charlois Blvd, Winston Salem, NC 27103-1507 | 2019-10-15 |
| 1811539547 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3333 Silas Creek Pkwy Ste T10479, Winston Salem, NC 27103-3013 | 2019-10-15 |
| 1659938306 | Cranial Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 1590 Westbrook Plaza Dr Ste 101, Winston Salem, NC 27103-2939 | 2019-05-28 |
| 1194244194 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3095 Waughtown St, Winston Salem, NC 27107-1634 | 2017-09-12 |
| 1588180608 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 240 S Statford Road, Winston Salem, NC 27103-0000 | 2017-08-21 |
| 1932637014 | Greenleaf Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1409 Plaza West Dr Ste G, Winston Salem, NC 27103-1418 | 2017-06-01 |
| 1700246717 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 34 Miller St, Winston Salem, NC 27104-4212 | 2016-03-03 |
| 1447654215 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 180 Harvey St, Winston Salem, NC 27103-1748 | 2014-10-22 |
| 1497094346 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5496 University Pkwy, Winston Salem, NC 27105-1366 | 2013-02-12 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on DOVE MEDICAL SUPPLY RETAIL LLC.
| 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.