Organization Active NPI

Ruxton Supply Services, LLC

  • Nursing Facility Supplies (DME)
  • Columbia, MD
National Provider Identifier
1164446506
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
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

Updated by the provider on Aug 31, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010257921MedicaidVA
407330400MedicaidMD

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.