Medique Medical Equipment Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDIQUE MEDICAL EQUIPMENT SUPPLY, INC.

Practice address

1307 E Millbrook Rd Ste C106
Raleigh, NC 27609-5476

Phone

(919) 900-7755

NPI assigned

Apr 12, 2022

Last updated

Aug 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Godwin Chinedu Chidebe

Title

Director

Phone

(919) 210-5353

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1932841657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 E MILLBROOK RD STE C106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095476",
            "telephone_number": "919-900-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E MILLBROOK RD STE C106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095476",
            "telephone_number": "919-900-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIQUE MEDICAL EQUIPMENT SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "CHIDEBE",
        "authorized_official_first_name": "GODWIN",
        "authorized_official_middle_name": "CHINEDU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-210-5353"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celimar Medina Leon
• Bryiane Pascua Medina, FNP-BC
• Jennifer Kathryn Medina, L.C.S.W.
• Kaicie Medina
• Carol Mary Medins, MPH, RD, LDN, CNSC
• Meditelecare of North Carolina PLLC
• Paul Ilolibi Medju, LCSW
• Tabu Keyunga Medju
• Cheryl Medley, MA. CCC-A
• Cara Peterson Medlin, BSN, RN, CCRN

• 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 Aug 2, 2023; 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.