Organization Active NPI

Jerry Pharmacy and Medical Supply Inc

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1821213133
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH22524 Issued in FL
Legal business name
JERRY PHARMACY AND MEDICAL SUPPLY INC
Doing business as
Jerry Pharmacy and Medical Supply Inc
Practice address
3855 SW 137TH Ave
13
Miami, FL 33175-8820
Phone
(305) 225-5007
Fax
(305) 225-5008
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Julio Brunet
Title
President
Phone
(305) 225-5007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH22524 FL Primary

Addresses

Primary practice location

3855 SW 137TH Ave
13
Miami, FL 33175-8820

Mailing address

3855 SW 137TH Ave
13
Miami, FL 33175-8820

Other identifiers 1

IdentifierTypeStateIssuer
1032628OtherOTHER ID NUMBER

Other names 1

  • JERRY PHARMACY AND MEDICAL SUPPLY INC Doing business as

National Provider Directory

National Provider Directory

Locations

3855 SW 137th Ave
Ste 13
Miami, FL 33175
Phone (305) 225-5007

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1821213133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 SW 137TH AVE",
            "address_2": "13",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 SW 137TH AVE",
            "address_2": "13",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758820",
            "telephone_number": "305-225-5007",
            "fax_number": "305-225-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY PHARMACY AND MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "BRUNET",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-225-5007"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1032628",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JERRY PHARMACY AND MEDICAL SUPPLY INC",
            "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 Feb 26, 2008; 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.