Tricare Medical &Health Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRICARE MEDICAL &HEALTH SUPPLIES, LLC

Practice address

505 Hampton Park Blvd Ste H
Capitol Heights, MD 20743-3862

Phone

(301) 333-0564

Fax

(301) 333-0562

NPI assigned

Apr 24, 2014

Organization subpart

No

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

Authorized official

Name

Gail Edwards Asuquo

Title

General Manager

Phone

(301) 333-0564

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1669892923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 HAMPTON PARK BLVD STE H",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 HAMPTON PARK BLVD STE H",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433862",
            "telephone_number": "301-333-0564",
            "fax_number": "301-333-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICARE MEDICAL &HEALTH SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "EDWARDS ASUQUO",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "301-333-0564"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tabatha Vanessa Torres, MSW, LICSW, LCSW
• Kolbie Tracy
• True Kings TK Healthcare LLC
• Khamille Turnage, DPT
• S Valencia Tyrell, CPC
• Rodney Vaughn
• Jose M Velasquez

• Durable Medical Equipment & Medical Supplies in Capitol Heights, MD
• Providers in Capitol Heights, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.