Western Maryland Medical Supply, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

R1119 Issued in MD

Legal business name

WESTERN MARYLAND MEDICAL SUPPLY, LLC

Practice address

425 N 3Rd St
Suite 2a
Oakland, MD 21550-1113

Phone

(301) 533-4148

NPI assigned

Sep 28, 2009

Last updated

Mar 19, 2015By 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

Mr. Thomas T Chan

Title

Cfo

Phone

(301) 790-8102

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Meritus Enterprises, Inc

  dba Home Care Pharmacy/Hager Park

  • Pharmacy
  • Hagerstown, MD
  • NPI 1912983461

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1639403470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 WINCHESTER RD",
            "address_2": "SUITE 1A",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027688",
            "telephone_number": "301-729-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N 3RD ST",
            "address_2": "SUITE 2A",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501113",
            "telephone_number": "301-533-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MARYLAND MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-790-8102",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MD",
            "license": "R1119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421189800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Virginia University Medical Corporation
• West Virginia University Medical Corporation
• West Virginia University Medical Corporation
• West Virginia University Medical Corporation
• Western Maryland Health Care Corporation (Mountain Laurel Medical Center)
• Western Maryland Speech and Swallowing Therapy
• Whole-Listic Wellness Therapy
• William R. Yant, D.D.S., P.a. (Dental Health Group)
• Charlene Wilson, NBCHWC
• Jasmine O Wilson, LICSW, LCSW-C

• Oxygen Equipment & Supplies (DME) in Oakland, MD
• Providers in Oakland, MD by specialty
• Oxygen Equipment & Supplies (DME) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.