Active NPI
Perry Medical Resources LLC
- Durable Medical Equipment & Medical Supplies
- Wake Forest, NC
National Provider Identifier
1184831711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 00402
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7702902 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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
- Catherine Grant Peoples, LCSW
- Perkins Counseling and Psychological Services, PLLC
- Perkins Partial Hospital Program, PLLC (Bright Path Behavioral Health)
- Pamela S. Perkins, PSY.D.
- Jeffrey B Perrin, M.D.
- Beatrice W Perry, MA CCC-SLP
- Personalized Hematology-Oncology of Wake Forest PLLC
- Heather Louise Petersen, LCSW
- Julie Ann Peterson, M.A.,LPC
- Martin Tsvetanov Petkov
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.