D&E Medical Repair Service&Supply Store

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

D&E MEDICAL REPAIR SERVICE&SUPPLY STORE

Practice address

2514 S Kenwood St
Arlington, VA 22206-2418

Phone

(571) 970-6256

NPI assigned

Jul 8, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Earl Robert Thompson Jr.

Title

Owner/Founder

Phone

(571) 970-6256

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1891147369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 S KENWOOD ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062418",
            "telephone_number": "571-970-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 S KENWOOD ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062418",
            "telephone_number": "571-970-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&E MEDICAL REPAIR SERVICE&SUPPLY STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "571-970-6256",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "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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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.