Premier Security Sys of Washington Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

11-6236 Issued in VA

Legal business name

PREMIER SECURITY SYS OF WASHINGTON INC

Practice address

11321 Moxley Rd
Damascus, MD 20872-1332

Phone

(301) 840-3477

NPI assigned

Jan 5, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Diane Chucker

Title

Owner

Phone

(301) 840-3477

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1013211036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11321 MOXLEY RD",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208721332",
            "telephone_number": "301-840-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11321 MOXLEY RD",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208721332",
            "telephone_number": "301-840-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SECURITY SYS OF WASHINGTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "CHUCKER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-840-3477",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "VA",
            "license": "11-6236",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "11-6236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Damascus, MD
• Providers in Damascus, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.