Active NPI
Durable Medical Equipment & Otc Store LLC
- Durable Medical Equipment & Medical Supplies
- Hampton, VA
National Provider Identifier
1821789553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DURABLE MEDICAL EQUIPMENT & OTC STORE LLC
- Practice address
- 1702 Todds LN Ste 172
Hampton, VA 23666-3196 - Phone
- (757) 870-9833
- NPI assigned
- May 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Leslie A Young
- Title
- Ceo
- Phone
- (757) 870-9833
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Dialysis Equipment & Supplies (DME) | 332BD1200X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
1702 Todds LN Ste 172
Hampton, VA 23666-3196
Mailing address
4001 Mount Laurel Rd
Williamsburg, VA 23188-6613
Phone (757) 870-9833
National Provider Directory
National Provider DirectoryLocations
1702 Todds Ln
Ste 172
Hampton, VA 23666
Phone (757) 870-9833
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Hampton, VA
- NPI 1013603943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684108800000",
"number": "1821789553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 MOUNT LAUREL RD",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231886613",
"telephone_number": "757-870-9833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 TODDS LN STE 172",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236663196",
"telephone_number": "757-870-9833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURABLE MEDICAL EQUIPMENT & OTC STORE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-15",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "757-870-9833",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.