Goodwill Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GOODWILL MEDICAL SUPPLIES LLC

Practice address

9609 Woodyard Cir
Upper Marlboro, MD 20772-4389

Phone

(202) 270-3735

Fax

(301) 856-2727

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Gavin Brown

Title

Ceo

Phone

(202) 270-3735

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1760500409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MERCHANTILE LN",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "202-270-3735",
            "fax_number": "301-856-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9609 WOODYARD CIR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724389",
            "telephone_number": "202-270-3735",
            "fax_number": "301-856-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-270-3735"
    },
    "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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• Durable Medical Equipment & Medical Supplies in Upper Marlboro, MD
• Providers in Upper Marlboro, 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 Jul 13, 2007; 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.