Provider Demographics
NPI:1326306259
Name:ALLCARE MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:ALLCARE MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AUSTINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ORJIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-872-8081
Mailing Address - Street 1:112 COX AVENUE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27605-1817
Mailing Address - Country:US
Mailing Address - Phone:919-872-8081
Mailing Address - Fax:919-872-3488
Practice Address - Street 1:112 COX AVE STE 203
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1817
Practice Address - Country:US
Practice Address - Phone:919-872-8081
Practice Address - Fax:919-872-3488
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLCARE MEDICAL SUPPLY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-28
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC01866332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC01866OtherNORTH CAROLINA BOARD OF PHARMACY (DME)
NC6750300001Medicare NSC