Organization Active NPI

Professional Medical Equipment & Supply Inc

  • Pharmacy
  • Homestead, FL
National Provider Identifier
1093720807
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH24209 Issued in FL
Legal business name
PROFESSIONAL MEDICAL EQUIPMENT & SUPPLY INC
Practice address
26059 S Dixie Hwy
Homestead, FL 33032-6613
Phone
(305) 258-4020
Fax
(305) 258-4034
NPI assigned
Jul 30, 2006
Last updated
Aug 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Authorized official

Name
Bernarda J. Sotero
Title
President
Phone
(305) 252-1234

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PH24209 FL
Oxygen Equipment & Supplies (DME) 332BX2000X PH24209 FL
Pharmacy 333600000X PH24209 FL Primary

Addresses

Primary practice location

26059 S Dixie Hwy
Homestead, FL 33032-6613

Mailing address

26059 S Dixie Hwy
Homestead, FL 33032-6613
Phone (305) 258-4020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1093720807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26059 S DIXIE HWY",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326613",
            "telephone_number": "305-258-4020",
            "fax_number": "305-258-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26059 S DIXIE HWY",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326613",
            "telephone_number": "305-258-4020",
            "fax_number": "305-258-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL EQUIPMENT & SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "SOTERO",
        "authorized_official_first_name": "BERNARDA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-252-1234"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH24209",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "PH24209",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH24209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.