WAKE MEDICAL SUPPLY LLC
NPI 1205571643
Durable Medical Equipment & Medical Supplies in Raleigh, NC

Q: What is Wake Medical Supply LLC's NPI number?

The NPI number for Wake Medical Supply LLC is 1205571643. It was assigned to this organization in the NPPES registry on April 30, 2022.

Q: What is Wake Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since April 30, 2022

6512 FALLS OF NEUSE RD STE 110, RALEIGH, NC 27615(919) 357-4555(984) 202-2224 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 19, 2026, Apr 15, 2024, Feb 8, 2024 and 1 more (4 updates tracked since 2022).

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About Wake Medical Supply Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAKE MEDICAL SUPPLY LLC (NPI 1205571643) is a healthcare organization registered as a durable medical equipment & medical supplies in Raleigh, North Carolina and active in the NPI registry since April 2022. The organization lists Lorannyi Taveraz, President, as its authorized official.

NPPES Registry Identity

NPI1205571643

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameWAKE MEDICAL SUPPLY LLC

Location Address6512 FALLS OF NEUSE RD STE 110Raleigh, NC 27615-6846

Mailing Address6512 Falls Of Neuse Rd Ste 110Raleigh, NC 27615-6846 · (919) 357-4555 · Fax (984) 202-2224

Phone(919) 357-4555

Fax(984) 202-2224

Organization SubpartNo

Authorized OfficialLorannyi TaverazPresident · (919) 357-4555

Enumeration DateApril 30, 2022

Last NPPES UpdateMay 19, 20264 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1205571643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

6512 FALLS OF NEUSE RD STE 110, Raleigh, NC 27615

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Medical Equipment Supplier Medicare DMEPOS 25

Medicare supplier enrollment and the product categories Wake Medical Supply LLC carries, from the Medicare DMEPOS supplier directory.

Wake Medical Supply LLC

DMEPOS supplier · Raleigh, NC

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Does not accept Medicare assignment

Wake Medical Supply LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)34357412

Medicare Participant SinceNovember 8, 2022

Supplier Location1100 Navaho Dr Ste 122Raleigh, NC 27609

Phone(919) 696-1475

Supplier Specialties

Medical Supply Company Other

Medicare Product Categories

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Blood Glucose Monitors/Supplies (Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Hospital Beds (Electric)

Total electric hospital beds, Semi-electric hospital beds

Hospital Beds (Manual)

Fixed height hospital beds, Variable height hospital beds

Infrared Heating Pads Systems and/or Supplies

Infrared Heating Pad Systems, Replacement Pads

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wake Medical Supply LLC's NPI number?

The NPI number for Wake Medical Supply LLC is 1205571643. It was assigned to this organization in the NPPES registry on April 30, 2022.

Where is Wake Medical Supply LLC located?

Wake Medical Supply LLC is located at 6512 Falls Of Neuse Rd Ste 110, Raleigh, NC 27615. The listed phone number is (919) 357-4555.

What is Wake Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Wake Medical Supply LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wake Medical Supply LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Wake Medical Supply LLC was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.