Provider Type Icon

DEGC ENTERPRISES (U.S.) INC. NPI 1750473252


NPI Information

NPI: 1750473252
Provider Name: DEGC ENTERPRISES (U.S.), INC.

Doing Business As: CCS MEDICAL

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
3601 THIRLANE RD NW STE 4
ROANOKE, VA
ZIP 24019
Phone: (866) 359-9641
Get Directions

DEGC ENTERPRISES (U.S.), INC. is a pharmacy in Roanoke, VA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. DEGC ENTERPRISES (U.S.), INC. NPI is 1750473252. The provider is registered as an organization entity type.
The provider Is Doing Business As Ccs Medical.

The provider's business location address is:

3601 THIRLANE RD NW STE 4
ROANOKE, VA
ZIP 24019-080
Phone: (866) 359-9641
Fax: (800) 540-2259

The provider's authorized official is Thomas Hofmeister .
The authorized official title is Cfo and has the following contact phone number (972) 628-2100.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 10/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1554461-01MEDICAIDHAWAII
20071099160003MEDICAIDPENNSYLVANIA
3008051702MEDICAIDCONNECTICUT
4003115482BMEDICAIDGEORGIA
53810017344MEDICAIDWEST VIRGINIA
61750473252MEDICAIDILLINOIS
7000697903EMEDICAIDGEORGIA
81750473252MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.