Organization Active NPI

Home Delivery Diabetic Supply

Doing business as Freedom Diabetic

  • Durable Medical Equipment & Medical Supplies
  • Berlin, MD
National Provider Identifier
1225232911
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOME DELIVERY DIABETIC SUPPLY
Doing business as
Freedom Diabetic
Practice address
9928 Old Ocean City Blvd
Unit 9
Berlin, MD 21811-1122
Phone
(410) 641-1811
Fax
(410) 641-1170
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Authorized official

Name
Mr. Mark Hammond
Title
President
Phone
(410) 641-1811

Specialties & licenses 1

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

Addresses

Primary practice location

9928 Old Ocean City Blvd
Unit 9
Berlin, MD 21811-1122

Mailing address

9928 Old Ocean City Blvd
Unit 9
Berlin, MD 21811-1122
Phone (410) 641-1811

Other names 1

  • Freedom Diabetic Doing business as

National Provider Directory

National Provider Directory

Locations

9928 Old Ocean City Blvd
Ste 9
Berlin, MD 21811
Phone (410) 641-1811

29 Broad St
Ste 203
Berlin, MD 21811
Phone (410) 641-4598

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1225232911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9928 OLD OCEAN CITY BLVD",
            "address_2": "UNIT 9",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111122",
            "telephone_number": "410-641-1811",
            "fax_number": "410-641-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9928 OLD OCEAN CITY BLVD",
            "address_2": "UNIT 9",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111122",
            "telephone_number": "410-641-1811",
            "fax_number": "410-641-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME DELIVERY DIABETIC SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-641-1811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Diabetic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.