Active NPI
Home Delivery Diabetic Supply
Doing business as Freedom Diabetic
- Durable Medical Equipment & Medical Supplies
- Berlin, MD
National Provider Identifier
1225232911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.