Express Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EXPRESS MEDICAL SUPPLY, INC

Practice address

1801 Saint Albans Dr
Suite G
Raleigh, NC 27609-6279

Phone

(919) 876-4949

Fax

(919) 876-4946

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Y Ogbonna

Title

V P

Phone

(919) 876-4949

Specialties & licenses 1

Addresses

Other names 1

• Express Medical Supply 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": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1992958417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SAINT ALBANS DR",
            "address_2": "SUITE G",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096279",
            "telephone_number": "919-876-4949",
            "fax_number": "919-876-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SAINT ALBANS DR",
            "address_2": "SUITE G",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096279",
            "telephone_number": "919-876-4949",
            "fax_number": "919-876-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "OGBONNA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "V P",
        "authorized_official_telephone_number": "919-876-4949",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Medical Supply",
            "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 Jul 29, 2010; 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.