FMP Enterprises LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY046616 Issued in CA

Legal business name

FMP ENTERPRISES LLC

Practice address

13237 Saticoy St
North Hollywood, CA 91605-3432

Phone

(203) 228-0123

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Noah Davis

Title

President

Phone

(203) 228-0123

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Farmers Market Pharmacy Doing business as

Tax ID family

Farmers Market Pharmacy2 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.

• FMP Enterprises, LLC

  • Long Term Care Pharmacy
  • North Hollywood, CA
  • NPI 1245469295
  NPD tax ID

Locations

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1730368317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13237 SATICOY ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053432",
            "telephone_number": "203-228-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13237 SATICOY ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053432",
            "telephone_number": "203-228-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMP ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-228-0123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY046616",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "CA",
            "license": "PHY046616",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "PHY046616",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "PHY046616",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY046616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA466160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmers Market Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cindy L Flores
• Laura Flores, M.A.
• Melizza Ahide Flores, ASW 118508
• Rosemary Katherine Flores, LMFT
• Trinidad Flores, RN
• FMP Enterprises, LLC
• Julia A Fonseca
• Laura Fonseca, MT-BC
• Nathalia Fonseca, RN
• Ninotschka Fonseca

• Pharmacy in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.