Organization Active NPI

Supermed Medical Equipment

  • Community/Retail Pharmacy
  • Miami Lakes, FL
National Provider Identifier
1710918461
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH 22836 Issued in FL
Legal business name
SUPERMED MEDICAL EQUIPMENT
Practice address
6179 Miami Lakes Dr E
Miami Lakes, FL 33014-2408
Phone
(305) 364-2247
Fax
(305) 364-2473
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Mr. Duniesky Nunez Vergel
Title
President
Phone
(305) 364-2471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH 22836 FL Primary

Addresses

Primary practice location

6179 Miami Lakes Dr E
Miami Lakes, FL 33014-2408

Mailing address

6179 Miami Lakes Dr E
Miami Lakes, FL 33014-2408
Phone (305) 364-2247

National Provider Directory

National Provider Directory

Locations

6179 Miami Lakes Dr E
Miami Lakes, FL 33014
Phone (305) 364-2247

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1710918461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6179 MIAMI LAKES DR E",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142408",
            "telephone_number": "305-364-2247",
            "fax_number": "305-364-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6179 MIAMI LAKES DR E",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142408",
            "telephone_number": "305-364-2247",
            "fax_number": "305-364-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERMED MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "NUNEZ VERGEL",
        "authorized_official_first_name": "DUNIESKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-364-2471",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH 22836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.