Organization Active NPI

Ep Medical Equipment, Inc.

  • Long Term Care Pharmacy
  • Miami, FL
National Provider Identifier
1740579044
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH25362 Issued in FL
Legal business name
EP MEDICAL EQUIPMENT, INC.
Doing business as
EP L.T.C. PHARMACY
Practice address
6440 SW 117TH Ave
2ND Floor
Miami, FL 33183-2822
Phone
(305) 630-9308
Fax
(305) 630-3414
NPI assigned
Apr 7, 2011
Organization subpart
Yes
Parent organization
EP MEDICAL EQUIPMENT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Eleuterio Perez
Title
President
Phone
(305) 630-9308

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PH25362 FL
Long Term Care Pharmacy 3336L0003X PH25362 FL Primary

Addresses

Primary practice location

6440 SW 117TH Ave
2ND Floor
Miami, FL 33183-2822

Mailing address

6440 SW 117TH Ave FL 2
Miami, FL 33183-2822
Phone (305) 630-9308

Other identifiers 2

IdentifierTypeStateIssuer
004178700MedicaidFL
PH25362OtherFLSTATE PHARMACY LICENSE

Other names 1

  • EP L.T.C. PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120508000063 FL DME Supplier - Pharmacy 3779603220 Practice locations: Miami, FL
O20200226001200 FL Part B Supplier - Mass Immunization (Roster Biller Only) 3779603220 Practice locations: Miami, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ep Medical Equipment Inc5 organizations share this tax ID, including this one
Part of
Ep Medical Equipment Inc

Other organizations with this tax ID 4

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

Locations

6440 SW 117th Ave
Fl 2
Miami, FL 33183
Phone (305) 630-9308

Networks

  • HealthSun Health Plans Network

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1740579044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 SW 117TH AVE FL 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832822",
            "telephone_number": "305-630-9308",
            "fax_number": "305-630-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 SW 117TH AVE",
            "address_2": "2ND FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832822",
            "telephone_number": "305-630-9308",
            "fax_number": "305-630-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EP MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EP MEDICAL EQUIPMENT, INC.",
        "enumeration_date": "2011-04-07",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ELEUTERIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-630-9308"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH25362",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH25362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004178700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY  LICENSE",
            "identifier": "PH25362",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EP L.T.C. PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EP L.T.C. PHARMACY",
            "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 Sep 9, 2025; 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.