Albermarle Medical Supply

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ALBERMARLE MEDICAL SUPPLY

Practice address

1112 N 2ND St
Albemarle, NC 28001-2822

Phone

(704) 900-6031

Fax

(704) 900-6031

NPI assigned

Sep 18, 2019

Last updated

Jan 15, 2025By 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

Fredia B OwensNPI 1992491286

Title

Co-Owner

Phone

(704) 408-6950

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fredia B Owens

  • Customized Equipment (DME)
  • Albemarle, NC
  • NPI 1992491286
  NPD Authorized official
• Princess Ejindu

  • Contractor
  • Charlotte, NC
  • NPI 1730743485
  NPD

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1659921823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 N 2ND ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280012822",
            "telephone_number": "704-550-5044",
            "fax_number": "704-550-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 N 2ND ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280012822",
            "telephone_number": "704-900-6031",
            "fax_number": "704-900-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERMARLE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "FREDIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "704-408-6950"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albemarle Medical Clinic PA
• Albemarle Medical Supplies LLC
• Albemarle Operating Al, LLC (Albemarle House)
• Albemarle Urology Clinic PA
• Albemarle Womens Clinic PA
• Albermarle Surgical Clinic, P.a.
• Anita Lynn Alexander
• Alliance Medical, Inc. (AMI Boutique)
• Alliance Medical, Inc.
• Anna Hope Allred-McGee, NCC, LPC BD ELIGIBLE

• Customized Equipment (DME) in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.