Amanis Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

R3870 Issued in MD

Legal business name

AMANIS MEDICAL SUPPLY

Practice address

176 Leeds Creek Cir
Odenton, MD 21113-3903

Phone

(240) 354-0269

Fax

(410) 674-2232

NPI assigned

Apr 19, 2016

Last updated

Apr 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Olubunmi Green

Title

President

Phone

(240) 354-0269

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1275987935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 LEEDS CREEK CIR",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133903",
            "telephone_number": "240-354-0269",
            "fax_number": "410-674-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 LEEDS CREEK CIR",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133903",
            "telephone_number": "240-354-0269",
            "fax_number": "410-674-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANIS MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "OLUBUNMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-354-0269",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "R3870",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MD",
            "license": "R3870",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MD",
            "license": "R3870",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RSA",
            "identifier": "R3870",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Odenton, MD
• Providers in Odenton, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.