Organization Active NPI

Cherry Lane Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Laurel, MD
National Provider Identifier
1225204902
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
R175280 Issued in MD
Legal business name
CHERRY LANE MEDICAL SUPPLY
Practice address
8730 Cherry LN
10B
Laurel, MD 20707-6212
Phone
(301) 776-1903
Fax
(301) 776-1946
NPI assigned
May 2, 2008
Last updated
Sep 9, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CHERRY LANE MEDICAL SUPPLYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Onyekachi Kagha, RN
Title
President
Phone
(240) 295-0803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X R175280 MD Primary

Addresses

Primary practice location

8730 Cherry LN
10B
Laurel, MD 20707-6212

Mailing address

14440 Cherry Lane CT
Suite 223
Laurel, MD 20707-4946
Phone (240) 295-0803

Other names 1

  • Cherry lane medical staffing and Home health. Other name

National Provider Directory

National Provider Directory
Part of
Cherry Lane Medical Supply

Locations

14440 Cherry Lane Ct
Ste 223
Laurel, MD 20707

8730 Cherry Ln
#10B
Laurel, MD 20707
Phone (301) 776-1903

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1225204902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14440 CHERRY LANE CT",
            "address_2": "SUITE 223",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074946",
            "telephone_number": "240-295-0803",
            "fax_number": "187-729-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 CHERRY LN",
            "address_2": "10B",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076212",
            "telephone_number": "301-776-1903",
            "fax_number": "301-776-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY LANE MEDICAL SUPPLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHERRY LANE MEDICAL SUPPLY",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "KAGHA",
        "authorized_official_first_name": "ONYEKACHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-295-0803",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "R175280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry lane medical staffing and Home health.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.