Organization Active NPI

M & M Medical Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Takoma Park, MD
National Provider Identifier
1104060482
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
15359316 Issued in MD
Legal business name
M & M MEDICAL SUPPLIES, LLC
Practice address
6480 New Hampshire Ave
Suite 101
Takoma Park, MD 20912-4716
Phone
(301) 891-1111
Fax
(301) 891-1119
NPI assigned
Apr 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Authorized official

Name
Mr. Joseph Mbu
Title
President
Phone
(301) 891-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 15359316 MD Primary

Addresses

Primary practice location

6480 New Hampshire Ave
Suite 101
Takoma Park, MD 20912-4716

Mailing address

6480 New Hampshire Ave
Suite 101
Takoma Park, MD 20912-4716
Phone (301) 891-1111

Other identifiers 1

IdentifierTypeStateIssuer
15359316OtherMDSTATE OF MARYLAND

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1104060482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 101",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124716",
            "telephone_number": "301-891-1111",
            "fax_number": "301-891-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 101",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124716",
            "telephone_number": "301-891-1111",
            "fax_number": "301-891-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "MBU",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-891-1111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "15359316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MARYLAND",
            "identifier": "15359316",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.