Organization Active NPI

JCR Medical Equipment Inc.

Doing business as J.C.R. Medical Equipment & Pharmacy

  • Long Term Care Pharmacy
  • Doral, FL
National Provider Identifier
1730221599
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
JCR MEDICAL EQUIPMENT INC.
Doing business as
J.C.R. Medical Equipment & Pharmacy
Unified Care Services
Practice address
10650 NW 29TH Ter
Doral, FL 33172-2195
Phone
(305) 262-7004
NPI assigned
Feb 12, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Jose Rodriguez
Title
President
Phone
(305) 262-7004

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Oxygen Equipment & Supplies (DME) 332BX2000X 1052 FL
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

10650 NW 29TH Ter
Doral, FL 33172-2195

Mailing address

10650 NW 29TH Ter
Doral, FL 33172-2195
Phone (305) 262-7004

Other identifiers 4

IdentifierTypeStateIssuer
950334000MedicaidFL
PH26473OtherFLFLORIDA BOARD OF PHARMACY
013307800MedicaidFL
1052OtherFLHME ACHA LICENSE

Other names 2

  • J.C.R. Medical Equipment & Pharmacy Doing business as
  • UNIFIED CARE SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930062180 FL DME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - PharmacyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 5597882514 Practice locations: Doral, FL

National Provider Directory

National Provider Directory
Tax ID family
JCR Medical Equipment2 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

10650 NW 29th Ter
Doral, FL 33172
Phone (305) 262-7004

7400 NW 7th St
Ste 106
Miami, FL 33126

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1730221599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 NW 29TH TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722195",
            "telephone_number": "305-262-7004",
            "fax_number": "305-262-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 NW 29TH TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722195",
            "telephone_number": "305-262-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCR MEDICAL EQUIPMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2023-03-07",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-262-7004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "1052",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "950334000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF PHARMACY",
            "identifier": "PH26473",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013307800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HME ACHA LICENSE",
            "identifier": "1052",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J.C.R. Medical Equipment & Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNIFIED CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.