Organization Active NPI

District Healthcare & Janitorial Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Lanham, MD
National Provider Identifier
1962432666
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DISTRICT HEALTHCARE & JANITORIAL SUPPLIES, INC.
Practice address
10104 Senate Dr Ste 201
Lanham, MD 20706-4393
Phone
(301) 918-0200
Fax
(301) 918-8230
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Mr. Pernell Jerome Williams
Title
President
Phone
(301) 333-1750

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X 16226054 MD

Addresses

Primary practice location

10104 Senate Dr Ste 201
Lanham, MD 20706-4393

Mailing address

10104 Senate Dr Ste 201
Lanham, MD 20706-4393
Phone (301) 918-0200

Other identifiers 5

IdentifierTypeStateIssuer
40801OtherMDAMERIGROUP
207060000OtherDCTRICARE
025842500MedicaidDC
009106081MedicaidVA
648588000MedicaidMD

Other names 1

  • District Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

8799 Darcy Rd
Forestville, MD 20747
Phone (301) 918-0200

4720 Boston Way
Ste D
Lanham, MD 20706
Phone (301) 918-0200

9430 Lanham Severn Rd
Ste 207
Lanham, MD 20706

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1962432666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10104 SENATE DR STE 201",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064393",
            "telephone_number": "301-918-0200",
            "fax_number": "301-918-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10104 SENATE DR STE 201",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064393",
            "telephone_number": "301-918-0200",
            "fax_number": "301-918-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT HEALTHCARE & JANITORIAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PERNELL",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-333-1750",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "MD",
            "license": "16226054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "40801",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "207060000",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025842500",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009106081",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "648588000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "District Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.