Medical Distributors of North Carolina, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICAL DISTRIBUTORS OF NORTH CAROLINA, INC.

Doing business as

Medical Equipement Distributors

Practice address

2200 E Millbrook Rd
Suite 109
Raleigh, NC 27604-1788

Phone

(919) 873-9168

Fax

(919) 873-9407

NPI assigned

Feb 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Bright Lubbers

Title

President

Phone

(919) 873-9168

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MEDICAL EQUIPEMENT DISTRIBUTORS Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1891761078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98643",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276248643",
            "telephone_number": "919-873-9168",
            "fax_number": "919-873-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E MILLBROOK RD",
            "address_2": "SUITE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041788",
            "telephone_number": "919-873-9168",
            "fax_number": "919-873-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DISTRIBUTORS OF NORTH CAROLINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "LUBBERS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "BRIGHT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-873-9168",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0459R",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701525",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL EQUIPEMENT DISTRIBUTORS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDICAL EQUIPEMENT DISTRIBUTORS",
            "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 Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.