Home Pride Medical Supply Co.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00883 Issued in NC

Legal business name

HOME PRIDE MEDICAL SUPPLY CO.

Practice address

1221 Corporation Pkwy
119
Raleigh, NC 27610-1392

Phone

(919) 212-9133

Fax

(919) 212-3094

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Chike Ejiofor

Title

Manager

Phone

(919) 212-9133

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• None Other name

Locations

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1528086477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 CORPORATION PKWY",
            "address_2": "119",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101392",
            "telephone_number": "919-212-9133",
            "fax_number": "919-212-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 CORPORATION PKWY",
            "address_2": "119",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101392",
            "telephone_number": "919-212-9133",
            "fax_number": "919-212-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME PRIDE MEDICAL SUPPLY CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "EJIOFOR",
        "authorized_official_first_name": "CHIKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-212-9133"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704369",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 Dec 6, 2010; 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.