United Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00813 Issued in NC

Legal business name

UNITED MEDICAL SUPPLIES INC

Practice address

1120 Main Street
Scotland Neck, NC 27874

Phone

(252) 826-4040

Fax

(252) 826-4961

NPI assigned

Mar 22, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Paulette Jackson, CRT CPED

Title

President

Phone

(252) 348-4040

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• United Medical Supplies Inc Former legal business name

Locations

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1194784702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "SCOTLAND NECK",
            "state": "NC",
            "postal_code": "27874",
            "telephone_number": "252-826-4040",
            "fax_number": "252-826-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MAIN STREET",
            "city": "SCOTLAND NECK",
            "state": "NC",
            "postal_code": "27874",
            "telephone_number": "252-826-4040",
            "fax_number": "252-826-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-348-4040",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRT CPED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "045EW",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703911",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Medical Supplies Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Scotland Neck Family Medical Center, Inc.
• Scotland Neck NC Opco LLC (Scotland Manor Health and Rehabilitation Center)
• Christopher A Smith, PHARM.D
• Susan Bullard Staton, P.T.
• Wandalyn Isaac Teague, LPC/NCC
• United Services Group Inc
• Latara Wade, PTA
• Wescare Professional Services, LLC.
• Chester Bruce Williams
• Kristi Britton Willoughby, COTA/L

• Durable Medical Equipment & Medical Supplies in Scotland Neck, NC
• Providers in Scotland Neck, 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 Jul 17, 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.