NPIMap

Organization Active NPI

Centro Ararat Inc

  • Specialty Pharmacy
  • Ponce, PR
National Provider Identifier
1003134602
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
20-F-2842 Issued in PR
Legal business name
CENTRO ARARAT INC
Practice address
8169 Calle Concordia Ste 410
Cond San Vicente
Ponce, PR 00717-1567
Phone
(787) 284-4488
Fax
(787) 284-4445
NPI assigned
May 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Juan Rivera, PHARM.D.
Title
Ceo
Phone
(787) 284-5884

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Mail Order Pharmacy 3336M0002X
Specialty Pharmacy 3336S0011X 20-F-2842 PR Primary

Addresses

Primary practice location

8169 Calle Concordia Ste 410
Cond San Vicente
Ponce, PR 00717-1567

Mailing address

8169 Calle Concordia Ste 412
Cond. San Vicente
Ponce, PR 00717-1567
Phone (787) 284-4488

Other identifiers 1

IdentifierTypeStateIssuer
2124873OtherPK

Other names 1

  • C A Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241231001734 PR Part B Supplier - Pharmacy 3375795297 1 other NPI on this enrollment
Practice locations: Ponce, PR; San Juan, PR

National Provider Directory

National Provider Directory
Tax ID family
Centro Ararat Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1003134602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA STE 412",
            "address_2": "COND. SAN VICENTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171567",
            "telephone_number": "787-284-4488",
            "fax_number": "787-284-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA STE 410",
            "address_2": "COND SAN VICENTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171567",
            "telephone_number": "787-284-4488",
            "fax_number": "787-284-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO ARARAT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-284-5884",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "PR",
            "license": "20-F-2842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124873",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C A Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.