Tac Alpha Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TAC ALPHA MEDICAL, INC.

Practice address

20 Noble St
Smithfield, NC 27577-9300

Phone

(919) 934-4555

NPI assigned

Nov 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Gene B Lusk

Title

President

Phone

(919) 965-4466

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1518940840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 DIXIE DR",
            "city": "SELMA",
            "state": "NC",
            "postal_code": "275762377",
            "telephone_number": "919-934-4555",
            "fax_number": "919-965-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NOBLE ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779300",
            "telephone_number": "919-934-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAC ALPHA MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "LUSK",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-965-4466",
        "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": []
}

• Mikaela Sullinger, RDN
• Kevin Sullivan, PA
• Sunshine Pediatrics, PA
• Allyson Harman Surles, OTR/L
• Aarron Swanson
• Lindsay B Tart, NP
• Kim Victoria Taylor, LCAS
• Leslie Lancaster Taylor III, MD
• Jim Tedrow, LPC
• Lisa Terrell

• Durable Medical Equipment & Medical Supplies in Smithfield, NC
• Providers in Smithfield, 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 Oct 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.