Organization Active NPI

Otcwholesale LLC

  • Durable Medical Equipment & Medical Supplies
  • Macon, GA
National Provider Identifier
1184890824
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OTCWHOLESALE LLC
Practice address
787 Hillcrest Industrial Blvd Ste a
Macon, GA 31204-3479
Phone
(954) 261-8642
Fax
(800) 467-8109
NPI assigned
May 2, 2008
Last updated
Feb 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Federico L Arguelles
Title
Owner
Phone
(954) 261-8642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

787 Hillcrest Industrial Blvd Ste a
Macon, GA 31204-3479

Mailing address

787 Hillcrest Industrial Blvd Ste a
Macon, GA 31204-3479
Phone (954) 261-8642

National Provider Directory

National Provider Directory

Locations

787 Hillcrest Industrial Blvd
Ste A
Macon, GA 31204
Phone (954) 261-8642

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1184890824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 HILLCREST INDUSTRIAL BLVD STE A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043479",
            "telephone_number": "954-261-8642",
            "fax_number": "800-467-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 HILLCREST INDUSTRIAL BLVD STE A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043479",
            "telephone_number": "954-261-8642",
            "fax_number": "800-467-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTCWHOLESALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "ARGUELLES",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-261-8642"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.