Organization Active NPI

Medco LLC

  • Durable Medical Equipment & Medical Supplies
  • Ashburn, VA
National Provider Identifier
1417870205
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDCO LLC
Practice address
43031 Foxtrail Woods Ter Unit 112
Ashburn, VA 20148-8118
Phone
(703) 621-1788
Fax
(703) 621-0212
NPI assigned
Jul 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Saba Moin, OWNER
Title
Owner
Phone
(703) 621-1788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

43031 Foxtrail Woods Ter Unit 112
Ashburn, VA 20148-8118

Mailing address

43031 Foxtrail Woods Ter Unit 112
Ashburn, VA 20148-8118
Phone (703) 621-1788

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1417870205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43031 FOXTRAIL WOODS TER UNIT 112",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201488118",
            "telephone_number": "703-621-1788",
            "fax_number": "703-621-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43031 FOXTRAIL WOODS TER UNIT 112",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201488118",
            "telephone_number": "703-621-1788",
            "fax_number": "703-621-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "MOIN",
        "authorized_official_first_name": "SABA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-621-1788",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.