Goodyear Medical Supply Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GOODYEAR MEDICAL SUPPLY CORP

Practice address

272 W 21St St
Hialeah, FL 33010-2517

Phone

(305) 884-0868

Fax

(305) 884-0869

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jose L Hernandez

Title

President

Phone

(305) 884-0868

Specialties & licenses 1

Addresses

Tax ID family

Goodyear Discount Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Goodyear Discount Pharmacy

  • Community/Retail Pharmacy
  • Hialeah, FL
  • NPI 1730357757
  NPD tax ID

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1003953738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 W 21ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330102517",
            "telephone_number": "305-884-0868",
            "fax_number": "305-884-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 W 21ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330102517",
            "telephone_number": "305-884-0868",
            "fax_number": "305-884-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODYEAR MEDICAL SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-884-0868",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Hands Home Care Services LLC
• Good Life Alf, Inc
• Good Quality Home Health Care Inc
• Good Shepherd Pharmacy
• Goodyear Discount Pharmacy
• Salome Gordillo Castellanos
• Nosleidy Gordillo Izquierdo
• Yiret Gordillo Lopez
• Mayvit Gordillo
• Miguel Angel Gordillo, D.P.M.

• Durable Medical Equipment & Medical Supplies in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.