Organization Active NPI

Modern Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Owings Mills, MD
National Provider Identifier
1013077726
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
03183682 Issued in MD
Legal business name
MODERN MEDICAL SUPPLY
Practice address
8 Greenspring Valley Road Suite 206
Owings Mills, MD 21117
Phone
(410) 363-2890
Fax
(410) 363-2882
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Alex Chernoff
Title
VP
Phone
(410) 363-2890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 03183682 MD Primary

Addresses

Primary practice location

8 Greenspring Valley Road Suite 206
Owings Mills, MD 21117

Mailing address

8 Greenspring Valley Road Suite 206
Owings Mills, MD 21117
Phone (410) 363-2890

National Provider Directory

National Provider Directory

Locations

8 Greenspring Valley Rd
Ste 206
Owings Mills, MD 21117
Phone (410) 363-2890

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013077726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GREENSPRING VALLEY ROAD SUITE 206",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "410-363-2890",
            "fax_number": "410-363-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GREENSPRING VALLEY ROAD SUITE 206",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "410-363-2890",
            "fax_number": "410-363-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHERNOFF",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "410-363-2890",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "03183682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.