Lynnray Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00330 Issued in NC

Legal business name

LYNNRAY MEDICAL SUPPLY

Practice address

3009 Village Park Dr
Suite a
Knightdale, NC 27545-7982

Phone

(919) 266-3727

Fax

(919) 266-5592

NPI assigned

Jul 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Terry Lynn Milam

Title

V.P.

Phone

(919) 266-3727

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• T & G Medical Repair Service Former legal business name

Locations

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1265432033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1272",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275451272",
            "telephone_number": "919-266-3727",
            "fax_number": "919-266-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 VILLAGE PARK DR",
            "address_2": "SUITE A",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457982",
            "telephone_number": "919-266-3727",
            "fax_number": "919-266-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNRAY MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "MILAM",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "V.P.",
        "authorized_official_telephone_number": "919-266-3727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.C. DME PERMIT",
            "identifier": "00330",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701851",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T & G Medical Repair Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Shanar H Lou, O.D.
• Veda Love
• Christian C Lowrie, DO
• Latoya Nicole Lucas
• Lydia Marie Lucey, M.ED, ED.S
• M B Patel DMD PA
• Majestic Health Wellness and Womens Care
• Malek & Knight DDS PA IV
• Mohammad Malek, D.D.S.
• Malek& Knight, DDS 2

• Durable Medical Equipment & Medical Supplies in Knightdale, NC
• Providers in Knightdale, 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 Aug 22, 2007; 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.