NPIMap

Organization Active NPI

Universal Medical Supplies, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Raleigh, NC
National Provider Identifier
1811922305
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
01173 Issued in NC
Legal business name
UNIVERSAL MEDICAL SUPPLIES, LLC.
Practice address
4800 Grove Barton Rd
Suite 104
Raleigh, NC 27613-1902
Phone
(919) 510-8559
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kecia Tucker Kalu
Title
Manager
Phone
(919) 510-8559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 01173 NC Primary

Addresses

Primary practice location

4800 Grove Barton Rd
Suite 104
Raleigh, NC 27613-1902

Mailing address

4800 Grove Barton Rd
Suite 104
Raleigh, NC 27613-1902
Phone (919) 510-8559

National Provider Directory

National Provider Directory

Locations

4800 Grove Barton Rd
Ste 104
Raleigh, NC 27613
Phone (919) 510-8559

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811922305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 GROVE BARTON RD",
            "address_2": "SUITE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131902",
            "telephone_number": "919-510-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 GROVE BARTON RD",
            "address_2": "SUITE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131902",
            "telephone_number": "919-510-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL MEDICAL SUPPLIES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALU",
        "authorized_official_first_name": "KECIA",
        "authorized_official_middle_name": "TUCKER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-510-8559"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "01173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • 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.