NPIMap

Organization Active NPI

Pauline Annett Mitchell-Ejimakor

  • Durable Medical Equipment & Medical Supplies
  • Largo, MD
National Provider Identifier
1629375902
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
16409541 Issued in MD
Legal business name
PAULINE ANNETT MITCHELL-EJIMAKOR
Practice address
1300 Mercantile LN
Suite 138E
Largo, MD 20774-5327
Phone
(240) 667-1594
Fax
(240) 667-1596
NPI assigned
Feb 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Pauline Annett Mitchell-EjimakorNPI 1861642613
Title
Ceo
Phone
(240) 667-1594

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 16409541 MD Primary

Addresses

Primary practice location

1300 Mercantile LN
Suite 138E
Largo, MD 20774-5327

Mailing address

1300 Mercantile LN
Suite 138E
Largo, MD 20774-5327
Phone (240) 667-1594

Other names 1

  • Emphasis Health And Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

1300 Mercantile Ln
Ste 138E
Upper Marlboro, MD 20774
Phone (240) 667-1594

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1629375902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN",
            "address_2": "SUITE 138E",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745327",
            "telephone_number": "240-667-1594",
            "fax_number": "240-667-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN",
            "address_2": "SUITE 138E",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745327",
            "telephone_number": "240-667-1594",
            "fax_number": "240-667-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULINE ANNETT MITCHELL-EJIMAKOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL-EJIMAKOR",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "ANNETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-667-1594"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "16409541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emphasis Health And Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.