Active NPI
Otcwholesale LLC
- Durable Medical Equipment & Medical Supplies
- Macon, GA
National Provider Identifier
1184890824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.