Provider Demographics
NPI:1568559565
Name:PEOPLE MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:PEOPLE MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHUKUNYERE
Authorized Official - Middle Name:
Authorized Official - Last Name:NWACHUKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-780-3200
Mailing Address - Street 1:6813 GOLDEN RING ROAD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237
Mailing Address - Country:US
Mailing Address - Phone:410-780-3200
Mailing Address - Fax:410-780-3413
Practice Address - Street 1:6813 GOLDEN RING ROAD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237
Practice Address - Country:US
Practice Address - Phone:410-780-3200
Practice Address - Fax:410-780-3413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2446332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5951250001Medicare NSC