Omnicare Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OMNICARE MEDICAL SUPPLY LLC

Practice address

1500 N University Dr Ste 247
Coral Springs, FL 33071-6073

Phone

(800) 983-2618

NPI assigned

Jun 7, 2022

Organization subpart

No

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

Authorized official

Name

Eduardo Narciso Fernandez Consuegra

Title

President

Phone

(954) 487-9879

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1912636804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N UNIVERSITY DR STE 247",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716073",
            "telephone_number": "800-983-2618",
            "fax_number": "954-323-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N UNIVERSITY DR STE 247",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716073",
            "telephone_number": "800-983-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNICARE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ CONSUEGRA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "NARCISO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-487-9879"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.