Triangle Diabetic Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRIANGLE DIABETIC SUPPLY

Practice address

1000 Bracken CT
Wake Forest, NC 27587-9358

Phone

(919) 562-0007

Fax

(919) 562-4670

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tim W Churchill

Title

Owner

Phone

(919) 562-0007

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902013899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BRACKEN CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879358",
            "telephone_number": "919-562-0007",
            "fax_number": "919-562-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BRACKEN CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879358",
            "telephone_number": "919-562-0007",
            "fax_number": "919-562-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE DIABETIC SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHURCHILL",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-562-0007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703504",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Elizabeth Trawick
• Karyn Traxler
• Jennifer M Trella, MD
• Michael Trenk, LMHC
• TRG Health Care Systems LLC
• Triangle Pathway Therapy
• Triangle Primary Care Associates, PLLC
• Triangle Vision Care, O.D., P.a.
• Mark Lendyl Naguit Trinidad
• Kenneth Ray Tripp Jr., DDS

• 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 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.