Organization Active NPI

American Medical & Diabetic Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Winchester, VA
National Provider Identifier
1710916481
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AMERICAN MEDICAL & DIABETIC SUPPLIES, LLC
Practice address
3050 Valley Ave
Suite 105
Winchester, VA 22601-2668
Phone
(866) 643-2800
Fax
(800) 753-5266
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Mr. Neil David Showalter
Title
Co-Owner
Phone
(866) 643-2800

Specialties & licenses 1

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

Addresses

Primary practice location

3050 Valley Ave
Suite 105
Winchester, VA 22601-2668

Mailing address

3050 Valley Ave
Suite 105
Winchester, VA 22601-2668
Phone (866) 643-2800

Other identifiers 1

IdentifierTypeStateIssuer
464468OtherBCBS

National Provider Directory

National Provider Directory

Locations

3050 Valley Ave
Ste 105
Winchester, VA 22601
Phone (866) 643-2800

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1710916481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 VALLEY AVE",
            "address_2": "SUITE 105",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012668",
            "telephone_number": "866-643-2800",
            "fax_number": "800-753-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 VALLEY AVE",
            "address_2": "SUITE 105",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012668",
            "telephone_number": "866-643-2800",
            "fax_number": "800-753-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN MEDICAL & DIABETIC SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "SHOWALTER",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "866-643-2800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "464468",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.