Prime Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRIME MEDICAL SUPPLY LLC

Practice address

2949 New Bern Ave Ste 106a
Raleigh, NC 27610-1249

Phone

(919) 332-3814

Fax

(919) 703-0188

NPI assigned

Nov 28, 2023

Last updated

Nov 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ephraim Okpara

Title

Office Administraor

Phone

(919) 332-3814

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1407622749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 NEW BERN AVE STE 106A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 NEW BERN AVE STE 106A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101249",
            "telephone_number": "919-332-3814",
            "fax_number": "919-703-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "OKPARA",
        "authorized_official_first_name": "EPHRAIM",
        "authorized_official_title_or_position": "OFFICE ADMINISTRAOR",
        "authorized_official_telephone_number": "919-332-3814"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Health, Inc. (Health Force)
• Prime Health, Inc. (Health Force)
• Prime Health, Inc. (Health Force)
• Prime MD PC
• Prime Medical Associates of North (North Raleigh Internal Medicine Associates)
• Prime NC Health, LLC
• Prime Physical Therapy, LLC
• Primepath Medical Transport
• Jamie Prince, MD, MPH
• Latrice Pringle

• 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 Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.