Organization Active NPI

Pristine Medical Equipment and Accessories Inc

  • Durable Medical Equipment & Medical Supplies
  • Ellicott City, MD
National Provider Identifier
1265249098
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRISTINE MEDICAL EQUIPMENT AND ACCESSORIES INC
Practice address
10176 Baltimore National Pike Ste 206
Ellicott City, MD 21042-3652
Phone
(410) 720-9921
NPI assigned
Dec 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Kacey XiminesNPI 1841137197
Title
Owner/Ceo
Phone
(443) 742-0946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10176 Baltimore National Pike Ste 206
Ellicott City, MD 21042-3652

Mailing address

10176 Baltimore National Pike Ste 206
Ellicott City, MD 21042-3652
Phone (410) 720-9921

National Provider Directory

National Provider Directory

Locations

10176 Baltimore National Pike
Ste 206
Ellicott City, MD 21042
Phone (410) 720-9002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1265249098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10176 BALTIMORE NATIONAL PIKE STE 206",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423652",
            "telephone_number": "410-720-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10176 BALTIMORE NATIONAL PIKE STE 206",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423652",
            "telephone_number": "410-720-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE MEDICAL EQUIPMENT AND ACCESSORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "XIMINES",
        "authorized_official_first_name": "KACEY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "443-742-0946"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.