Active NPI
Ruxton Supply Services, LLC
- Nursing Facility Supplies (DME)
- Columbia, MD
National Provider Identifier
1164446506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility Supplies (DME)
- Legal business name
- RUXTON SUPPLY SERVICES, LLC
- Practice address
- 10420 Little Patuxent Pkwy
Suite 210
Columbia, MD 21044-3533 - Phone
- (410) 884-6844
- Fax
- (410) 715-8786
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eamonn Dennis Reilly
- Title
- Managing Member
- Phone
- (410) 715-8900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility Supplies (DME) | 332BN1400X | Primary |
Addresses
Primary practice location
10420 Little Patuxent Pkwy
Suite 210
Columbia, MD 21044-3533
Mailing address
10420 Little Patuxent Pkwy
Suite 210
Columbia, MD 21044-3533
Phone (410) 884-6844
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010257921 | Medicaid | VA | |
| 407330400 | Medicaid | MD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314748800000",
"number": "1164446506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10420 LITTLE PATUXENT PKWY",
"address_2": "SUITE 210",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443533",
"telephone_number": "410-884-6844",
"fax_number": "410-715-8786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10420 LITTLE PATUXENT PKWY",
"address_2": "SUITE 210",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443533",
"telephone_number": "410-884-6844",
"fax_number": "410-715-8786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUXTON SUPPLY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2011-08-31",
"status": "A",
"authorized_official_last_name": "REILLY",
"authorized_official_first_name": "EAMONN",
"authorized_official_middle_name": "DENNIS",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "410-715-8900",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010257921",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407330400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.