Spic Medical Equipment Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SPIC MEDICAL EQUIPMENT SUPPLY

Practice address

140 Mine Lake CT Ste 100
Raleigh, NC 27615-6417

Phone

(919) 395-5262

Fax

(919) 518-8295

NPI assigned

Mar 5, 2024

Organization subpart

Yes

Parent organization

SERENITY PLACE INTERVENTION CENTER INCAs reported in NPPES

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

Authorized official

Name

Mr. Peter Onuzulike Sr., MR.

Title

Owner / Person-in-Charge

Phone

(919) 395-5262

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• SPIC MEDICAL EQUIPMENT SUPPLY Doing business as
• Serenity Place Intervention Center Inc Doing business as

Tax ID family

Serenity Place Intervention Center Inc2 organizations share this tax ID, including this one

Part of

Serenity Place Intervention Center Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Serenity Place Intervention Center, Inc

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1104419522
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Queensly Isibhakhomen Onuzulike, LCSW

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1376073056
  NPD

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1255198230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MINE LAKE CT STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156417",
            "telephone_number": "919-395-5262",
            "fax_number": "919-518-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MINE LAKE CT STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156417",
            "telephone_number": "919-395-5262",
            "fax_number": "919-518-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIC MEDICAL EQUIPMENT SUPPLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERENITY PLACE INTERVENTION CENTER INC",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "ONUZULIKE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER / PERSON-IN-CHARGE",
        "authorized_official_telephone_number": "919-395-5262",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "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": "DME PERMIT",
            "identifier": "03163",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPIC MEDICAL EQUIPMENT SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serenity Place Intervention Center Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shamieka Spencer, LCSW
• Shante Spencer, LCSWA
• Jennifer N Speri, PT
• Alyssa Sperlazza
• Sphinxman Healthcare LLC
• Ella Mae Spicketts, PA
• Mariah Spina
• Spine, Neuromuscular and Pain Clinic PLLC
• Makaila Spiotti
• Amanda Cummings Spiritos, PA-C

• 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 Mar 8, 2024; 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.