Victorian Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VICTORIAN MEDICAL SUPPLY, LLC

Practice address

1016 Howell Mill Rd NW
#1210
Atlanta, GA 30318-5559

Phone

(770) 843-5380

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Adam Harris

Title

Treasurer

Phone

(770) 843-5380

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821023425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 SHALLOWFORD RD NE",
            "address_2": "SUITE 104-143",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451202",
            "telephone_number": "770-843-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 HOWELL MILL RD NW",
            "address_2": "#1210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185559",
            "telephone_number": "770-843-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIAN MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "770-843-5380",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Atlanta, GA
• Providers in Atlanta, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• 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.