Medco

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0206009192 Issued in VA

Legal business name

MEDCO

Practice address

14470 Smoketown Rd
Woodbridge, VA 22192-4712

Phone

(703) 490-5980

Fax

(703) 490-8107

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Annette Fleming McClatchey, CEO

Title

President

Phone

(703) 490-8106

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336219104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14470 SMOKETOWN RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924712",
            "telephone_number": "703-490-5980",
            "fax_number": "703-490-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14470 SMOKETOWN RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924712",
            "telephone_number": "703-490-5980",
            "fax_number": "703-490-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLATCHEY",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "FLEMING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-490-8106",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0206009192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David L McNerney, O.D.
• Reginald Henry McRae, PSY.D.
• Delionel B Meadows Sr.
• Sylvia Debronger Mebane-Brooks, NP
• Ana Teresa Mebune
• Medease
• Medi Health LLC
• Medical Clinic of Woodbridge Inc
• Medical Company
• Medical Company

• Durable Medical Equipment & Medical Supplies in Woodbridge, VA
• Providers in Woodbridge, 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 Aug 22, 2020; 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.