Simply Diabetic Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SIMPLY DIABETIC SUPPLY LLC

Practice address

19847 Century Blvd Ste 210
Germantown, MD 20874-7204

Phone

(443) 365-4885

NPI assigned

Sep 19, 2023

Organization subpart

No

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

Authorized official

Name

Jacqueline Calder

Title

Partner

Phone

(443) 365-4885

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1336927565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19847 CENTURY BLVD STE 210",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208747204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19847 CENTURY BLVD STE 210",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208747204",
            "telephone_number": "443-365-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY DIABETIC SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "CALDER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "443-365-4885"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Silva, M.D.
• Luz Silverio
• Vigen Simchian, DDS
• Kalina Simeonova
• Tihesha E. Simmons, RN BSN
• Coleia Shaquille Simpson, LCSW-C
• Jennifer Simpson
• Ghazi M Sinada
• Amanda E Singer
• Alka Singh, M.D.

• Durable Medical Equipment & Medical Supplies in Germantown, MD
• Providers in Germantown, 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 Sep 19, 2023; 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.