Sundry Medical Corporation

Primary specialty

Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X

Legal business name

SUNDRY MEDICAL CORPORATION

Practice address

4560 SW 152ND Ave
Miramar, FL 33027-3360

Phone

(305) 763-1188

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Penninah Mukiri

Title

Manager

Phone

(305) 763-1188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1780378802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 SW 152ND AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273360",
            "telephone_number": "305-763-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 SW 152ND AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273360",
            "telephone_number": "305-763-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDRY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-03",
        "status": "A",
        "authorized_official_last_name": "MUKIRI",
        "authorized_official_first_name": "PENNINAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-763-1188"
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.