Healthcare Provider Details

I. General information

NPI: 1629905575
Provider Name (Legal Business Name): J & M BARR TRUCKING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 OLD MUSKET LN
FORT WASHINGTON MD
20744-4179
US

IV. Provider business mailing address

1409 OLD MUSKET LN
FORT WASHINGTON MD
20744-4179
US

V. Phone/Fax

Practice location:
  • Phone: 240-681-5619
  • Fax:
Mailing address:
  • Phone: 240-681-5619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: MONIQUE SIMONE MURDOCK-BARR
Title or Position: MANAGER
Credential:
Phone: 240-681-5619