South Eastern Medical Suplies,Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

01375 Issued in NC

Legal business name

SOUTH EASTERN MEDICAL SUPLIES,INC

Practice address

1307 E Millbrook Rd
Suite C-23
Raleigh, NC 27609-5476

Phone

(919) 341-4468

Fax

(919) 341-2378

NPI assigned

Jan 6, 2008

Organization subpart

No

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

Authorized official

Name

Ezuma E Asi, RN

Title

Director

Phone

(919) 341-4468

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1199577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1043495377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 E MILLBROOK RD",
            "address_2": "SUITE C-23",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095476",
            "telephone_number": "919-341-4468",
            "fax_number": "919-341-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E MILLBROOK RD",
            "address_2": "SUITE C-23",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095476",
            "telephone_number": "919-341-4468",
            "fax_number": "919-341-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EASTERN MEDICAL SUPLIES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-06",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "ASI",
        "authorized_official_first_name": "EZUMA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-341-4468",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "01375",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "01375",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NC",
            "license": "01375",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PHARMACY",
            "identifier": "01375",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.