Ndiec Medical Suppl Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0206009226 Issued in VA

Legal business name

NDIEC MEDICAL SUPPL INC

Doing business as

Ndi Ec Medical & Innovation Pharmacy
Ndiec Medical Suppl Inc

Practice address

6000 Stevenson Ave
Ste a
Alexandria, VA 22304-3577

Phone

(703) 461-3551

Fax

(703) 461-3552

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Adolf Ndi Ngundam, RT

Title

President

Phone

(703) 461-3551

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• NDI EC MEDICAL & INNOVATION PHARMACY Doing business as
• NDIEC MEDICAL SUPPL INC Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1306881545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 STEVENSON AVE",
            "address_2": "STE A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043577",
            "telephone_number": "703-461-3551",
            "fax_number": "703-461-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 STEVENSON AVE",
            "address_2": "STE A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043577",
            "telephone_number": "703-461-3551",
            "fax_number": "703-461-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDIEC MEDICAL SUPPL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "NGUNDAM",
        "authorized_official_first_name": "ADOLF",
        "authorized_official_middle_name": "NDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-461-3551",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0206009226",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2105924",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NDI EC MEDICAL & INNOVATION PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NDIEC MEDICAL SUPPL INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NDIEC MEDICAL SUPPL INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Judith D Neary, LCSW
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• Durable Medical Equipment & Medical Supplies in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.