Organization Active NPI

Sandys Distribution Corp

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1619088333
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SANDYS DISTRIBUTION CORP
Practice address
1399 NW 17TH Ave Ste 302 B
Miami, FL 33125-2334
Phone
(305) 325-8771
Fax
(305) 325-8770
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Gloria R MillaNPI 1841223260
Title
President
Phone
(305) 325-8771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1399 NW 17TH Ave Ste 302 B
Miami, FL 33125-2334

Mailing address

1399 NW 17TH Ave Ste 302 B
Miami, FL 33125-2334
Phone (305) 325-8771

Other identifiers 1

IdentifierTypeStateIssuer
M400296455060OtherFLDRIVER LICENSE

Other names 1

  • JERY MEDICAL SUPPLIES, INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jery Medical Supplies Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1399 NW 17th Ave
Ste 302B
Miami, FL 33125
Phone (305) 325-8771

Practitioners & affiliated clinicians

Practitioners 1

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1619088333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 NW 17TH AVE STE 302 B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252334",
            "telephone_number": "305-325-8771",
            "fax_number": "305-325-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 NW 17TH AVE STE 302 B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252334",
            "telephone_number": "305-325-8771",
            "fax_number": "305-325-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDYS DISTRIBUTION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "MILLA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-325-8771"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "M400296455060",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JERY MEDICAL SUPPLIES, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.