Active NPI
First Prime Medical Center Inc
- Home Infusion Therapy Pharmacy
- Virginia Gardens, FL
National Provider Identifier
1508854621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- PH23631
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1042148 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 026244700 | Medicaid | FL |
Other names 1
- FIRST PRIME MEDICAL CENTER,INC DBA INFUMED
National Provider Directory
National Provider DirectoryLocations
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.
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- Chiropractor
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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.