NPIMap

Organization Active NPI

Prince George's Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Hyattsville, MD
National Provider Identifier
1205165800
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
13890384 Issued in MD
Legal business name
PRINCE GEORGE'S MEDICAL SUPPLIES
Practice address
3605 Gallatin St
Suite 513
Hyattsville, MD 20782-3931
Phone
(301) 534-0783
Fax
(301) 263-7221
NPI assigned
Dec 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Nicole Marcie Brown
Title
Ceo
Phone
(301) 534-0783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 13890384 MD Primary

Addresses

Primary practice location

3605 Gallatin St
Suite 513
Hyattsville, MD 20782-3931

Mailing address

PO Box 514
Temple Hills, MD 20757-0514
Phone (301) 534-0783

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1205165800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 514",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207570514",
            "telephone_number": "301-534-0783",
            "fax_number": "301-263-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 GALLATIN ST",
            "address_2": "SUITE 513",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823931",
            "telephone_number": "301-534-0783",
            "fax_number": "301-263-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE GEORGE'S MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARCIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-534-0783"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "13890384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.