Virginia Medical Supplies LLC

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

VIRGINIA MEDICAL SUPPLIES LLC

Practice address

14080 Sullyfield Cir Ste a
Chantilly, VA 20151-1623

Phone

(703) 639-0866

Fax

(703) 639-0867

NPI assigned

Jun 27, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Barisi Jenny P Nwisanee

Title

President

Phone

(703) 623-8800

Specialties & licenses 1

Addresses

Other names 1

• Virginia Medical Supplies Former legal business name

Locations

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1306681697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14080 SULLYFIELD CIR STE A",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511623",
            "telephone_number": "703-639-0866",
            "fax_number": "703-639-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14080 SULLYFIELD CIR STE A",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511623",
            "telephone_number": "703-639-0866",
            "fax_number": "703-639-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "NWISANEE",
        "authorized_official_first_name": "BARISI",
        "authorized_official_middle_name": "JENNY P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-623-8800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Medical Supplies",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Parenteral & Enteral Nutrition Supplies (DME) in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.