NPIMap

Organization Active NPI

Ralph L Clayton III

Doing business as Southeastern Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Wilson, NC
National Provider Identifier
1730236126
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00510 Issued in NC
Legal business name
RALPH L CLAYTON III
Doing business as
Southeastern Medical Supplies
Practice address
2801-3 Wa Ward Blvd
Wilson, NC 27893
Phone
(800) 957-5533
Fax
(252) 291-6151
NPI assigned
Jan 5, 2007
Last updated
Mar 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Mr. Ralph L Clayton III
Title
Owner
Phone
(800) 957-5533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00510 NC Primary

Addresses

Primary practice location

2801-3 Wa Ward Blvd
Wilson, NC 27893

Mailing address

PO Box 8052
Wilson, NC 27893-1052
Phone (800) 957-5533

Other names 1

  • Southeastern Medical Supplies Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1730236126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8052",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278931052",
            "telephone_number": "800-957-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801-3 WA WARD BLVD",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "800-957-5533",
            "fax_number": "252-291-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH L CLAYTON III",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-957-5533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeastern Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.