ST JUDE MEDICAL SUPPLY
NPI 1376113068
Durable Medical Equipment & Medical Supplies in Raleigh, NC

NPI Status: Active since June 25, 2021

Contact Information

3900 MERTON DR STE 130
RALEIGH, NC
ZIP 27609
Phone: (984) 242-4742

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About ST JUDE MEDICAL SUPPLY

This page provides the complete NPI Profile along with additional information for St Jude Medical Supply, a provider established in Raleigh, North Carolina operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1376113068 assigned on June 2021. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's former legal business name is St. Jude Medical Supply. The authorized official of this NPI record is Mr. Jude Nwaodu (President)

NPI
1376113068
Provider Legal Name
ST JUDE MEDICAL SUPPLY
Other Organization Name
ST. JUDE MEDICAL SUPPLY
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
3900 MERTON DR STE 130 RALEIGH, NC 27609
Location Phone
(984) 242-4742
Mailing Address
3900 MERTON DR STE 130 RALEIGH, NC 27609
Mailing Phone
(984) 242-4742
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2021
Last Update Date
01-11-2023
Code Navigator



St Jude Medical Supply is a medicare supplier with PTAN 20682437 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Automatic Ext Defibrillator (AEDS) and/or Supplies or Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Heat & Cold Applications or Hospital Beds (Electric) or Hospital Beds (Manual) or Infrared Heating Pads Systems and/or Supplies or Neuromuscular Elect Stimulators (NMES)/Supplies or Support Surfaces: Pressure Reducing Beds/Mats/Pads or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Ultraviolet Light Devices and/or Supplies or Canes and/or Crutches or Patient Lifts or Power Operated Vehicles (Scooters) or Seat Lift Mechanisms or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Manual Related Accessories) or Wheelchairs (Standard Power) or Wheelchairs (Standard Power Related Accessories) or Wheelchair Seating/Cushions or Orthoses: Off-The-Shelf or Penile Pumps or Neurostimulators and/or Supplies or Ostomy Supplies or Tracheotomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Nebulizer Equipment and/or Supplies or Surgical Dressings.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332BC3200XSuppliers

Durable Medical Equipment & Medical Supplies
Customized Equipment

 
2332BP3500XSuppliers

Durable Medical Equipment & Medical Supplies
Parenteral & Enteral Nutrition

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JUDE NWAODU

Authorized Official Title
PRESIDENT
Authorized Official Phone
(919) 618-8033

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20682437
Accepts Medicare Assignment
YES
Specialities List
Medical Supply Company Other.
Competitive Bidding
NO

Supplies List

  • Automatic Ext Defibrillator (AEDS) and/or Supplies - Home defibrillators, Wearable defibrillators, Replacement batteries, Replacement electrodes
  • 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
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • 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
  • Neuromuscular Elect Stimulators (NMES)/Supplies - Electrodes, lead wires, adhesive tape
  • Support Surfaces: Pressure Reducing Beds/Mats/Pads - Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
  • (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
  • Ultraviolet Light Devices and/or Supplies - Hand-held phototherapy devices, UV light therapy panels, Multidirectional light therapy
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Patient Lifts - Ceiling lifts, Slings
  • Power Operated Vehicles (Scooters) - Scooters
  • Seat Lift Mechanisms - Lift chair
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchairs (Standard Power) - Standard power wheelchairs, Heavy duty standard power wheelchairs
  • Wheelchairs (Standard Power Related Accessories) - Accessories for standard power wheelchairs, heavy duty standard power wheelchairs
  • Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Penile Pumps -
  • Neurostimulators and/or Supplies - Rechargable neurostimulators, Non-rechargable neurostimulators
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Tracheotomy Supplies - Tracheostomy care kits
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376113068, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 1 → 2 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 2 + 1 + 6 + 0 + 1 + 2 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1376113068.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

In Home Supportive Care
3900 MERTON DR STE 130
RALEIGH, NC 27609

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376113068, enumerated as an "organization" on June 25, 2021.

The provider is located at 3900 MERTON DR STE 130 RALEIGH, NC 27609 and the phone number is (984) 242-4742.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.