Organization
FMP ENTERPRISES LLC
Active
Other names
Farmers Market Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOAH DAVIS (PRESIDENT)
(203) 228-0123
Entity
Organization
Contact information
Practice address
13237 SATICOY ST, NORTH HOLLYWOOD, CA 91605-3432
(203) 228-0123
Mailing address
13237 SATICOY ST, NORTH HOLLYWOOD, CA 91605-3432
(203) 228-0123
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHY046616
CA
332BN1400X
Nursing Facility Supplies (DME)
PHY046616
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PHY046616
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
PHY046616
CA
333600000X
Pharmacy
Primary
PHY046616
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA466160
—
CA
Enumeration date
10/30/2007
Last updated
10/30/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us