The Medical Supercenter of Raleigh, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PENDING Issued in NC

Legal business name

THE MEDICAL SUPERCENTER OF RALEIGH, INC.

Practice address

3514 Capital Blvd
Raleigh, NC 27604-3326

Phone

(919) 866-0965

Fax

(919) 866-1139

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tony Curtis Gurley, RPH, J.D.

Title

President

Phone

(919) 866-0965

Specialties & licenses 1

Addresses

Other names 1

• The Medical Supercenter, Inc. Doing business as

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548317472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90804",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276750804",
            "telephone_number": "919-866-0965",
            "fax_number": "919-866-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 CAPITAL BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043326",
            "telephone_number": "919-866-0965",
            "fax_number": "919-866-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL SUPERCENTER OF RALEIGH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-866-0965",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH, J.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medical Supercenter, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Aug 22, 2020; 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.