Organization Active NPI

Pacific Medical Equipment Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Raleigh, NC
National Provider Identifier
1386849271
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
01318 Issued in NC
Legal business name
PACIFIC MEDICAL EQUIPMENT SUPPLY INC
Practice address
100 E Six Forks Rd
Suite 130
Raleigh, NC 27609-7752
Phone
(919) 881-8210
Fax
(919) 832-1324
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Mr. Chukwuemeka Nwakamma NjokuNPI 1285964395
Title
President
Phone
(919) 881-8210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Durable Medical Equipment & Medical Supplies 332B00000X 01318 NC Primary

Addresses

Primary practice location

100 E Six Forks Rd
Suite 130
Raleigh, NC 27609-7752

Mailing address

100 E Six Forks Rd
Suite 130
Raleigh, NC 27609-7752
Phone (919) 881-8210

National Provider Directory

National Provider Directory

Locations

100 E Six Forks Rd
Ste 130
Raleigh, NC 27609
Phone (919) 881-8210

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1386849271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SIX FORKS RD",
            "address_2": "SUITE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097752",
            "telephone_number": "919-881-8210",
            "fax_number": "919-832-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SIX FORKS RD",
            "address_2": "SUITE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097752",
            "telephone_number": "919-881-8210",
            "fax_number": "919-832-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MEDICAL EQUIPMENT SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "NJOKU",
        "authorized_official_first_name": "CHUKWUEMEKA",
        "authorized_official_middle_name": "NWAKAMMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-881-8210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "01318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.