Provider Demographics
NPI:1134333545
Name:NEW PHARMACY DISCOUNT CORP
Entity type:Organization
Organization Name:NEW PHARMACY DISCOUNT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NEREIDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MONTEJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-412-7852
Mailing Address - Street 1:10061 SW 72ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4623
Mailing Address - Country:US
Mailing Address - Phone:305-412-7852
Mailing Address - Fax:305-412-7854
Practice Address - Street 1:10061 SW 72ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4623
Practice Address - Country:US
Practice Address - Phone:305-412-7852
Practice Address - Fax:305-412-7854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH22651332B00000X, 332BC3200X, 332BN1400X, 332BX2000X, 332BP3500X, 3336C0002X, 3336H0001X, 333600000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5923590001Medicare NSC