Wilmington Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WILMINGTON MEDICAL SUPPLY INC

Practice address

5815 Oleander Dr Apt 310
Wilmington, NC 28403-4853

Phone

(910) 392-5553

Fax

(910) 251-0897

NPI assigned

May 23, 2006

Last updated

May 18, 2022By 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

Mr. Jeffery B Hendrix

Title

Cfo

Phone

(405) 443-2985

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Wilmington Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Whitinsville, MA
  • NPI 1134416845

  5799805628

  Same PAC ID
• Wilmington Medical Supply, Inc.

  dba Advanced Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Duluth, GA
  • NPI 1871956409

  5799805628

  Same PAC ID

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

Tax ID family

Wilmington Medical Supply Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Wilmington Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Whitinsville, MA
  • NPI 1134416845
  NPD tax ID
• Wilmington Medical Supply, Inc.

  dba Advanced Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Duluth, GA
  • NPI 1871956409
  NPD tax ID

Locations

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1972558898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8516 NW EXPRESSWAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731626010",
            "telephone_number": "405-443-2985",
            "fax_number": "888-718-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 OLEANDER DR APT 310",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034853",
            "telephone_number": "910-392-5553",
            "fax_number": "910-251-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "405-443-2985",
        "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": "0825710001",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972516144",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Wilmington Mental Health, PLLC (Wilmington Mental Health)
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• Wilmington NC Opco LLC (August Healthcare at Wilmington)
• Wilmington NC Taxi LLC
• Wilmington Neurofeedback LLC

• Durable Medical Equipment & Medical Supplies in Wilmington, NC
• Providers in Wilmington, 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 May 18, 2022; 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.