Organization Active NPI

Victory Pharmacy

  • Oxygen Equipment & Supplies (DME)
  • Miami, FL
National Provider Identifier
1841226289
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
VICTORY PHARMACY
Practice address
9614 Fontainebleau Blvd
Miami, FL 33172-6876
Phone
(305) 207-3871
NPI assigned
Jun 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jose R Fernandez
Title
President
Phone
(305) 207-3871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

9614 Fontainebleau Blvd
Miami, FL 33172-6876

Mailing address

9614 Fontainebleau Blvd
Miami, FL 33172-6876

National Provider Directory

National Provider Directory

Locations

9614 Fontainebleau Blvd
Miami, FL 33172
Phone (305) 207-3871

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841226289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9614 FONTAINEBLEAU BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331726876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9614 FONTAINEBLEAU BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331726876",
            "telephone_number": "305-207-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-207-3871",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.