Organization Active NPI

Nebet Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Fayetteville, NC
National Provider Identifier
1508588914
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NEBET MEDICAL SUPPLY LLC
Practice address
1905 Gillespie St
Fayetteville, NC 28306-1853
Phone
(910) 286-5905
NPI assigned
Sep 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Mr. Anozie Nebolisa
Title
President
Phone
(919) 546-8378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1905 Gillespie St
Fayetteville, NC 28306-1853

Mailing address

1905 Gillespie St
Fayetteville, NC 28306-1853
Phone (910) 286-5905

National Provider Directory

National Provider Directory

Locations

1905 Gillespie St
Fayetteville, NC 28306
Phone (910) 286-5905

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1508588914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 GILLESPIE ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283061853",
            "telephone_number": "910-286-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 GILLESPIE ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283061853",
            "telephone_number": "910-286-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBET MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "NEBOLISA",
        "authorized_official_first_name": "ANOZIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-546-8378",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.