Ultra Medical Services, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH21098 Issued in FL

Legal business name

ULTRA MEDICAL SERVICES, INC.

Practice address

17601 NW 78TH Ave
102
Hialeah, FL 33015-3630

Phone

(305) 820-2855

Fax

(305) 820-1085

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Mario S Lay

Title

President

Phone

(305) 820-2855

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407801426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17601 NW 78TH AVE",
            "address_2": "102",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153630",
            "telephone_number": "305-820-2855",
            "fax_number": "305-820-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17601 NW 78TH AVE",
            "address_2": "102",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153630",
            "telephone_number": "305-820-2855",
            "fax_number": "305-820-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAY",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-820-2855"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH21098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Pharmacy in Florida

• 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.