Organization Active NPI

Dominion Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Norfolk, VA
National Provider Identifier
1174754063
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
904518 Issued in VA
Legal business name
DOMINION MEDICAL SUPPLIES
Practice address
4110 Granby St
Norfolk, VA 23508
Phone
(757) 201-5398
NPI assigned
Jul 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Miss Terez L Patterson, B.A
Title
Owner/Manager
Phone
(757) 201-5398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 904518 VA Primary

Addresses

Primary practice location

4110 Granby St
Norfolk, VA 23508

Mailing address

4110 Granby St
Norfolk, VA 23504-1108
Phone (757) 201-5398

National Provider Directory

National Provider Directory

Locations

4110 Granby St
Norfolk, VA 23504
Phone (757) 201-5398

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1174754063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 GRANBY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041108",
            "telephone_number": "757-201-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 GRANBY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23508",
            "telephone_number": "757-201-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "TEREZ",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "757-201-5398",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "B.A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "904518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.