Organization Active NPI

First Prime Medical Center Inc

  • Home Infusion Therapy Pharmacy
  • Virginia Gardens, FL
National Provider Identifier
1508854621
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PH23631 Issued in FL
Legal business name
FIRST PRIME MEDICAL CENTER INC
Practice address
6405 NW 36TH St Ste 113
Virginia Gardens, FL 33166-6977
Phone
(305) 870-9393
Fax
(305) 870-9373
NPI assigned
Oct 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Madelyn Rodriguez
Title
President
Phone
(305) 870-9393

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X
Home Infusion Therapy Pharmacy 3336H0001X PH23631 FL Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

6405 NW 36TH St Ste 113
Virginia Gardens, FL 33166-6977

Mailing address

6405 NW 36TH St Ste 113
Virginia Gardens, FL 33166-6977

Other identifiers 2

IdentifierTypeStateIssuer
1042148OtherNCPDP PROVIDER IDENTIFICATION NUMBER
026244700MedicaidFL

Other names 1

  • FIRST PRIME MEDICAL CENTER,INC DBA INFUMED Doing business as

National Provider Directory

National Provider Directory

Locations

6405 NW 36th St
Ste 113
Virginia Gardens, FL 33166
Phone (305) 870-9393

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1508854621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 NW 36TH ST STE 113",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 NW 36TH ST STE 113",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666977",
            "telephone_number": "305-870-9393",
            "fax_number": "305-870-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PRIME MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MADELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-870-9393"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "FL",
            "license": "PH23631",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1042148",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026244700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST PRIME MEDICAL CENTER,INC DBA INFUMED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.