Salem Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SALEM MEDICAL SUPPLY INC

Practice address

4265 Brownsboro Rd
Suite 240
Winston-Salem, NC 27106

Phone

(336) 896-0503

Fax

(336) 896-0603

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark Okechukwu Ubabuike

Title

MGR

Phone

(336) 896-0503

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1164525176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 BROWNSBORO RD",
            "address_2": "SUITE 240",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27106",
            "telephone_number": "336-896-0503",
            "fax_number": "336-896-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 BROWNSBORO RD",
            "address_2": "SUITE 240",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27106",
            "telephone_number": "336-896-0503",
            "fax_number": "336-896-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "UBABUIKE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "OKECHUKWU",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "336-896-0503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "046VJ",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "050447050",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703783",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "806920",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salem Counseling & Consulting, PLLC
• Salem Counseling Center, PLLC
• Salem Gynecology PLLC
• Salem House of Winston-Salem, LLC
• Salem Kidney Center of Wake Forest University
• Salem Mental Health Associates PLLC
• Salem Neurological Center, P.a.
• Salem Optical Outlet
• Salem Pediatric Ear and Airway Center, PLLC
• Salem Physical Therapy and Sports Rehab

• Durable Medical Equipment & Medical Supplies in Winston-Salem, NC
• Providers in Winston-Salem, 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 May 27, 2015; 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.