Primmeux RX LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PRIMMEUX RX LLC

Practice address

12509 Dillingham SQ Ste 110
Woodbridge, VA 22192-5260

Phone

(202) 696-5482

NPI assigned

Sep 20, 2022

Last updated

Sep 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tanshia Primm

Title

Owner

Phone

(202) 696-5482

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1912620428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12509 DILLINGHAM SQ STE 110",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925260",
            "telephone_number": "202-696-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12509 DILLINGHAM SQ STE 110",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925260",
            "telephone_number": "202-696-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMMEUX RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "PRIMM",
        "authorized_official_first_name": "TANSHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-696-5482"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1(571)538-5458",
            "affiliation": "N",
            "endpointDescription": "fax",
            "address_1": "12509 Dillingham Sq Ste 110",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221925260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Prosthetic/Orthotic Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.