Organization Active NPI

DRS Medical Supply & Transportation Service LLC

  • Durable Medical Equipment & Medical Supplies
  • Alexandria, VA
National Provider Identifier
1083907554
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
126139 Issued in VA
Legal business name
DRS MEDICAL SUPPLY & TRANSPORTATION SERVICE LLC
Practice address
50 S Pickett St Ste 124
Alexandria, VA 22304-7206
Phone
(571) 319-0424
Fax
(866) 909-8664
NPI assigned
May 17, 2011
Last updated
Nov 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Daniel AfeworkNPI 1679881163
Title
President
Phone
(703) 945-2185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 126139 VA Primary

Addresses

Primary practice location

50 S Pickett St Ste 124
Alexandria, VA 22304-7206

Mailing address

50 S Pickett St Ste 124
Alexandria, VA 22304-7206
Phone (571) 319-0424

Other identifiers 2

IdentifierTypeStateIssuer
9581901295MedicaidVA
420653300MedicaidMD

National Provider Directory

National Provider Directory

Locations

50 S Pickett St
Ste 124
Alexandria, VA 22304
Phone (571) 257-5507

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1083907554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S PICKETT ST STE 124",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223047206",
            "telephone_number": "571-319-0424",
            "fax_number": "866-909-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S PICKETT ST STE 124",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223047206",
            "telephone_number": "571-319-0424",
            "fax_number": "866-909-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS MEDICAL SUPPLY & TRANSPORTATION SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "AFEWORK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-945-2185"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "126139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9581901295",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420653300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.