Organization Active NPI

The Medicare Shoppe Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Hialeah, FL
National Provider Identifier
1326045345
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1222810001 Issued in FL
Legal business name
THE MEDICARE SHOPPE INCORPORATED
Practice address
3013 E 4TH Ave
Hialeah, FL 33013-3210
Phone
(305) 693-3544
Fax
(305) 693-3519
NPI assigned
Jul 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Luis Andres Fernandez, CERTIFIED ORTHOTIST
Title
President / Program Director
Phone
(305) 693-3544

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1222810001 FL Primary
Pharmacy 333600000X PH16014 FL

Addresses

Primary practice location

3013 E 4TH Ave
Hialeah, FL 33013-3210

Mailing address

3013 E 4TH Ave
Hialeah, FL 33013-3210
Phone (305) 693-3544

Other names 1

  • The Medicare Shoppe.com Other name

National Provider Directory

National Provider Directory

Locations

3013 E 4th Ave
Hialeah, FL 33013
Phone (305) 693-3544

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1326045345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133210",
            "telephone_number": "305-693-3544",
            "fax_number": "305-693-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133210",
            "telephone_number": "305-693-3544",
            "fax_number": "305-693-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICARE SHOPPE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "PRESIDENT / PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "305-693-3544",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERTIFIED ORTHOTIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1222810001",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH16014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicare Shoppe.com",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.