Organization Active NPI

NE-Medical Supply USA, Inc.

  • Community/Retail Pharmacy
  • Davie, FL
National Provider Identifier
1164504460
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
22:01444 Issued in FL
Legal business name
NE-MEDICAL SUPPLY USA, INC.
Practice address
3811 SW 47TH Ave
Suite 629
Davie, FL 33314-2819
Phone
(561) 210-5915
Fax
(561) 210-7880
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Danielle Robyn Wayne
Title
President
Phone
(561) 210-5915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 22:01444 FL Primary

Addresses

Primary practice location

3811 SW 47TH Ave
Suite 629
Davie, FL 33314-2819

Mailing address

621 NW 53Rd St
Suite 240
Boca Raton, FL 33487-8235
Phone (561) 210-5915

National Provider Directory

National Provider Directory

Locations

3811 SW 47th Ave
Ste 629
Davie, FL 33314
Phone (561) 210-5915

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164504460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 NW 53RD ST",
            "address_2": "SUITE 240",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334878235",
            "telephone_number": "561-210-5915",
            "fax_number": "561-210-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 SW 47TH AVE",
            "address_2": "SUITE 629",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333142819",
            "telephone_number": "561-210-5915",
            "fax_number": "561-210-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NE-MEDICAL SUPPLY USA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAYNE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "ROBYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-210-5915",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "22:01444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.