Provider Demographics
NPI:1932138724
Name:ORIETTA MEDICAL EQUIPMENT DBA PHARMCO PHARMACY DISCOUNT
Entity Type:Organization
Organization Name:ORIETTA MEDICAL EQUIPMENT DBA PHARMCO PHARMACY DISCOUNT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:DISNEY
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-367-3747
Mailing Address - Street 1:2017 W 62ND ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2678
Mailing Address - Country:US
Mailing Address - Phone:305-698-6344
Mailing Address - Fax:305-698-6345
Practice Address - Street 1:2017 W 62ND ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-2678
Practice Address - Country:US
Practice Address - Phone:305-698-6344
Practice Address - Fax:305-698-6345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332BX2000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Not Answered333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1077030001Medicare NSC