Organization Active NPI

M&M Medical Supply,Inc.

  • Durable Medical Equipment & Medical Supplies
  • Richmond, VA
National Provider Identifier
1699853135
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
9102809 Issued in VA
Legal business name
M&M MEDICAL SUPPLY,INC.
Practice address
3113 W Marshall St
Suite 2C
Richmond, VA 23230-4730
Phone
(804) 539-3082
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John A Manning
Title
President
Phone
(804) 539-3082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 9102809 VA Primary

Addresses

Primary practice location

3113 W Marshall St
Suite 2C
Richmond, VA 23230-4730

Mailing address

3113 W Marshall St
Suite 2C
Richmond, VA 23230-4730
Phone (804) 539-3082

Other identifiers 1

IdentifierTypeStateIssuer
9102809MedicaidVA

National Provider Directory

National Provider Directory

Locations

3113 W Marshall St
Ste 2C
Richmond, VA 23230
Phone (804) 539-3082

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699853135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 W MARSHALL ST",
            "address_2": "SUITE 2C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304730",
            "telephone_number": "804-539-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 W MARSHALL ST",
            "address_2": "SUITE 2C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304730",
            "telephone_number": "804-539-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M MEDICAL SUPPLY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-539-3082"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "9102809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9102809",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.