Provider Demographics
NPI:1992221204
Name:ONESTOP MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:ONESTOP MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:YAMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-977-8673
Mailing Address - Street 1:8320 LITCHFORD RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-2464
Mailing Address - Country:US
Mailing Address - Phone:919-977-8673
Mailing Address - Fax:919-977-5853
Practice Address - Street 1:8320 LITCHFORD RD STE 150
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-2465
Practice Address - Country:US
Practice Address - Phone:919-977-8673
Practice Address - Fax:919-977-5853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC82214332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies