NPIMap

Organization Active NPI

Pacon Investment Inc D/B/a/ Omega Medical Supply

Doing business as omega medical supply

  • Durable Medical Equipment & Medical Supplies
  • Bowie, MD
National Provider Identifier
1639333610
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
R2609 Issued in MD
Legal business name
PACON INVESTMENT INC D/B/A/ OMEGA MEDICAL SUPPLY
Doing business as
omega medical supply
Practice address
13307 Big Cedar LN
Bowie, MD 20720-5609
Phone
(301) 809-1463
Fax
(301) 809-1462
NPI assigned
Jul 18, 2008
Organization subpart
Yes
Parent organization
PACON INVESTMENT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Ms. Patricia Obiageli Ndubueze, RN
Title
Director
Phone
(301) 728-5198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X R2609 MD Primary

Addresses

Primary practice location

13307 Big Cedar LN
Bowie, MD 20720-5609

Mailing address

13307 Big Cedar LN
Bowie, MD 20720-5609
Phone (301) 809-1463

Other names 1

  • omega medical supply Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pacon Investmentdbaac Nursing Agency2 organizations share this tax ID, including this one
Part of
Pacon Investmentdbaac Nursing Agency

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1639333610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13307 BIG CEDAR LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205609",
            "telephone_number": "301-809-1463",
            "fax_number": "301-809-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13307 BIG CEDAR LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205609",
            "telephone_number": "301-809-1463",
            "fax_number": "301-809-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACON INVESTMENT INC D/B/A/ OMEGA MEDICAL SUPPLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACON INVESTMENT INC",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "NDUBUEZE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "OBIAGELI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-728-5198",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "R2609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "omega medical supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.