Peninsula Biomedical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00508 Issued in NC

Legal business name

PENINSULA BIOMEDICAL INC

Practice address

500-01 Wait Ave
Wake Forest, NC 27587

Phone

(919) 556-8934

Fax

(919) 556-0693

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Tony Reid

Title

President/Owner

Phone

(831) 430-9066

Specialties & licenses 3

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hillary Lima, D.C.

  • Chiropractor
  • Wake Forest, NC
  • NPI 1558760389
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1790796639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66149",
            "address_2": "108 WHISPERING PINES DR SUITE 115",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "95066",
            "telephone_number": "831-430-9066",
            "fax_number": "831-430-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500-01 WAIT AVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "27587",
            "telephone_number": "919-556-8934",
            "fax_number": "919-556-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA BIOMEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "831-430-9066"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00508",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "00508",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": "00508",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010107199",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "0428V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9001254300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Evans Pearce
• Tracie Lanae Pearsall
• Janine Pearson, M.S., CCC-SLP
• Pediatrician'S Urgent Care
• Matthew Robert Pedone
• Julie Marie Penner, PHARMD
• Madeline Mae Pennington, LCSWA
• Catherine Grant Peoples, LCSW
• Perkins Counseling and Psychological Services, PLLC
• Perkins Partial Hospital Program, PLLC

• Durable Medical Equipment & Medical Supplies in Wake Forest, NC
• Providers in Wake Forest, 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 Sep 20, 2017; 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.