Conquer Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CONQUER MEDICAL SUPPLY LLC

Practice address

1220 E Churchville Rd Ste 300B
Bel Air, MD 21014-3406

Phone

(104) 597-7854

NPI assigned

Jun 2, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Craig ChavisNPI 1528132115

Title

Owner

Phone

(443) 819-3132

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig L Chavis, D.C.

  • Chiropractor
  • Bel Air, MD
  • NPI 1528132115
  NPD Authorized official

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1891319133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E CHURCHVILLE RD STE 300B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143406",
            "telephone_number": "443-819-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E CHURCHVILLE RD STE 300B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143406",
            "telephone_number": "104-597-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONQUER MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "CHAVIS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-819-3132",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.ehpchiro.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1220 E Churchville Rd Ste 300B",
            "city": "Bel Air",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210143406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julieann Mergerian Connelly, D.C.
• Lisa Marie Connolly-Bailey, LCSW-C
• Jill T Connolly, LCPC
• John Keegan Connors, LGPC
• Patrick Alan Connors, LCSW-C
• Lauren Marie Conroy, LCPC
• Eileen Contreras, CRNA
• Ethel Cook, LMSW
• Ian Cook, PHARM.D.
• Mary Alexandra Cook, MD

• Durable Medical Equipment & Medical Supplies in Bel Air, MD
• Providers in Bel Air, 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 Jun 2, 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.