Tarheel Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TARHEEL MEDICAL SUPPLY LLC

Practice address

1201 Raleigh Rd Ste C
Chapel Hill, NC 27517-4047

Phone

(919) 969-2669

Fax

(919) 969-2644

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Phillip Eugene Davis Sr., PH.D.

Title

Owner and Ceo

Phone

(919) 969-2669

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1992924120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 RALEIGH RD",
            "address_2": "SUITE C",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275174047",
            "telephone_number": "919-969-2669",
            "fax_number": "919-969-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 RALEIGH RD STE C",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275174047",
            "telephone_number": "919-969-2669",
            "fax_number": "919-969-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARHEEL MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "919-969-2669",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PH.D."
    },
    "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": "7704692",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Tang, DC
• Karen Emily Tankersley, ATC
• Bradley Tanner, MD
• Gordon Tarbat, OTA
• Tarheel Family Dentistry
• Tara Tarlton, COTA/L
• Marcela Tarosso Rea
• Teresa K Tarrant, MD
• David Tart
• Kelli Elizabeth Tart, FNP

• Durable Medical Equipment & Medical Supplies in Chapel Hill, NC
• Providers in Chapel Hill, 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 Mar 14, 2008; 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.