Provider Demographics
NPI:1528045861
Name:MAJOR PHARMACY & MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:MAJOR PHARMACY & MEDICAL EQUIPMENT INC
Other - Org Name:AMADOR'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-541-5511
Mailing Address - Street 1:5727 NW 7TH ST
Mailing Address - Street 2:BOX #84
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3105
Mailing Address - Country:US
Mailing Address - Phone:305-541-5511
Mailing Address - Fax:305-541-5512
Practice Address - Street 1:1997 SW 1ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1601
Practice Address - Country:US
Practice Address - Phone:305-541-5511
Practice Address - Fax:305-541-5512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH238873336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1042504OtherNCPDP PROVIDER IDENTIFICATION NUMBER