Organization Active NPI

Banner Medical Equipment & Supplies

  • Durable Medical Equipment & Medical Supplies
  • Bowie, MD
National Provider Identifier
1679259311
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BANNER MEDICAL EQUIPMENT & SUPPLIES
Practice address
10258 Lake Arbor Way
Bowie, MD 20721-3132
Phone
(844) 850-8500
NPI assigned
Jun 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Uche Lucy Okeke
Title
Managing Director
Phone
(202) 650-9302

Specialties & licenses 1

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

Addresses

Primary practice location

10258 Lake Arbor Way
Bowie, MD 20721-3132

Mailing address

10258 Lake Arbor Way
Bowie, MD 20721-3132
Phone (844) 850-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250421000194 MD DME Supplier - Medical Supply Company 2163947490 Practice locations: Bowie, MD

National Provider Directory

National Provider Directory

Locations

10258 Lake Arbor Way
Bowie, MD 20721
Phone (301) 944-4909

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1679259311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10258 LAKE ARBOR WAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213132",
            "telephone_number": "844-850-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10258 LAKE ARBOR WAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213132",
            "telephone_number": "844-850-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER MEDICAL EQUIPMENT & SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "UCHE",
        "authorized_official_middle_name": "LUCY",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "202-650-9302"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.