Med Pharma, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MED PHARMA, LLC

Practice address

6908 Beach Dr
Panama City Beach, FL 32408-6023

Phone

(334) 791-2799

Fax

(850) 249-4895

NPI assigned

Feb 15, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Leo M Bullock IV

Title

President / Managing Member

Phone

(334) 791-2799

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1477875607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6908 BEACH DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324086023",
            "telephone_number": "334-791-2799",
            "fax_number": "850-249-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6908 BEACH DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324086023",
            "telephone_number": "334-791-2799",
            "fax_number": "850-249-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED PHARMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT / MANAGING MEMBER",
        "authorized_official_telephone_number": "334-791-2799",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke McMaken, LMHC
• Kemar Doran McMorris
• William Turner McMurphy, APRN
• Eleatha Meadows, PHARMD
• Brandon Meckelberg, DDS
• Medga Transportation LLC
• Medical Clinic PCB
• Amanda Maria Melendez Martinez, PHARMD
• Brittani Melick, COTA/ L
• Derrick L Mena, MD

• Durable Medical Equipment & Medical Supplies in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; 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.