Organization Active NPI

National Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • District Heights, MD
National Provider Identifier
1447581764
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
16371643 Issued in MD
Legal business name
NATIONAL MEDICAL SUPPLY LLC
Practice address
6320 Marlboro Pike Ste a
District Heights, MD 20747-2878
Phone
(301) 213-5556
NPI assigned
Jan 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Mr. Habibollah Gouloubandi
Title
Owner
Phone
(301) 213-5556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 16371643 MD Primary

Addresses

Primary practice location

6320 Marlboro Pike Ste a
District Heights, MD 20747-2878

Mailing address

6320 Marlboro Pike Ste a
District Heights, MD 20747-2878
Phone (301) 213-5556

National Provider Directory

National Provider Directory

Locations

6320 Marlboro Pike
Ste A
District Heights, MD 20747
Phone (301) 213-5556

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1447581764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 MARLBORO PIKE STE A",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207472878",
            "telephone_number": "301-213-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 MARLBORO PIKE STE A",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207472878",
            "telephone_number": "301-213-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "GOULOUBANDI",
        "authorized_official_first_name": "HABIBOLLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-213-5556",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "16371643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in District Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.