Healthcare Provider Details

I. General information

NPI: 1205421849
Provider Name (Legal Business Name): ALLCARERX MEDICAL SUPPLIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2021
Last Update Date: 04/04/2022
Certification Date: 04/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5176 NC HIGHWAY 42 W STE H
GARNER NC
27529-8471
US

IV. Provider business mailing address

5176 NC HIGHWAY 42 W STE H
GARNER NC
27529-8471
US

V. Phone/Fax

Practice location:
  • Phone: 919-268-9128
  • Fax: 919-803-1010
Mailing address:
  • Phone: 919-268-9128
  • Fax: 919-639-6036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH O CHUKWU SR.
Title or Position: MANAGER
Credential:
Phone: 919-268-9128