Provider Demographics
NPI:1700224334
Name:NATIONAL MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:NATIONAL MEDICAL SUPPLY INC
Other - Org Name:CAPITAL MEDICAL SUPPLY OF VIRGINIA INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:OLA
Authorized Official - Last Name:ORJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-867-0706
Mailing Address - Street 1:100 CARPENTER DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164
Mailing Address - Country:US
Mailing Address - Phone:703-543-9255
Mailing Address - Fax:703-543-9255
Practice Address - Street 1:100 CARPENTER DR
Practice Address - Street 2:SUITE 206
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164
Practice Address - Country:US
Practice Address - Phone:703-543-9255
Practice Address - Fax:703-543-9255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies