Organization Active NPI

Perry Medical Resources LLC

  • Durable Medical Equipment & Medical Supplies
  • Wake Forest, NC
National Provider Identifier
1184831711
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00402 Issued in NC
Legal business name
PERRY MEDICAL RESOURCES LLC
Practice address
1533 Heritage Garden St
Wake Forest, NC 27587-4360
Phone
(919) 468-5859
Fax
(919) 468-5022
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Mr. Richard Henry Perry
Title
President
Phone
(919) 468-5859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00402 NC Primary

Addresses

Primary practice location

1533 Heritage Garden St
Wake Forest, NC 27587-4360

Mailing address

1533 Heritage Garden St
Wake Forest, NC 27587-4360
Phone (919) 468-5859

Other identifiers 1

IdentifierTypeStateIssuer
7702902MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1184831711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 HERITAGE GARDEN ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874360",
            "telephone_number": "919-468-5859",
            "fax_number": "919-468-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 HERITAGE GARDEN ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874360",
            "telephone_number": "919-468-5859",
            "fax_number": "919-468-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY MEDICAL RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-468-5859",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702902",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.