Provider Demographics
NPI:1205421849
Name:ALLCARERX MEDICAL SUPPLIES, LLC
Entity type:Organization
Organization Name:ALLCARERX MEDICAL SUPPLIES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:O
Authorized Official - Last Name:CHUKWU
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:919-268-9128
Mailing Address - Street 1:5176 NC HIGHWAY 42 W STE H
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-8471
Mailing Address - Country:US
Mailing Address - Phone:919-268-9128
Mailing Address - Fax:919-639-6036
Practice Address - Street 1:5176 NC HIGHWAY 42 W STE H
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-8471
Practice Address - Country:US
Practice Address - Phone:919-268-9128
Practice Address - Fax:919-803-1010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1205421849Medicaid
NC7915370001OtherMEDICARE NSC