Organization Active NPI

Ritetime Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Sterling, VA
National Provider Identifier
1275771842
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RITETIME MEDICAL SUPPLY LLC
Practice address
207 E Holly Ave
Suite 109
Sterling, VA 20164-3137
Phone
(703) 430-6664
NPI assigned
Feb 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Mr. Emeka Jude Okibe
Title
Vice President/Ceo
Phone
(703) 430-6664

Specialties & licenses 1

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

Addresses

Primary practice location

207 E Holly Ave
Suite 109
Sterling, VA 20164-3137

Mailing address

207 E Holly Ave
Suite 109
Sterling, VA 20164-3137
Phone (703) 430-6664

Other identifiers 2

IdentifierTypeStateIssuer
021373000MedicaidMD
1275771842MedicaidVA

National Provider Directory

National Provider Directory

Locations

207 E Holly Ave
Ste 109
Sterling, VA 20164
Phone (703) 430-6664

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1275771842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E HOLLY AVE",
            "address_2": "SUITE 109",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201643137",
            "telephone_number": "703-430-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E HOLLY AVE",
            "address_2": "SUITE 109",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201643137",
            "telephone_number": "703-430-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITETIME MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "OKIBE",
        "authorized_official_first_name": "EMEKA",
        "authorized_official_middle_name": "JUDE",
        "authorized_official_title_or_position": "VICE PRESIDENT/CEO",
        "authorized_official_telephone_number": "703-430-6664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021373000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275771842",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

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