Victory Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VICTORY MEDICAL SUPPLIES LLC

Practice address

515 21St St NE
Washington, DC 20002-4719

Phone

(202) 390-4197

NPI assigned

Feb 7, 2019

Last updated

Feb 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Saturday S Nnam

Title

Owner

Phone

(202) 390-4197

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1497210074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 21ST ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024719",
            "telephone_number": "202-390-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 21ST ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024719",
            "telephone_number": "202-390-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "NNAM",
        "authorized_official_first_name": "SATURDAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-390-4197"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCRA CORPORATE DIVISION",
            "identifier": "NR0006131669",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Victor, DDS
• Vanessa Lynn Victor, LICSW
• Victoria Albina Health & Wellness
• Victoria Home Health Care LLC
• Victory Homes
• Vidacare LLC
• Savanna I Vidal
• Timothy Vidale, D.P.T.
• Atiba Vheir Vidato, LPC
• Anthony James Videckis

• Durable Medical Equipment & Medical Supplies in Washington, DC
• Providers in Washington, DC by specialty
• Durable Medical Equipment & Medical Supplies in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.