NPIMap

Organization Active NPI

Puerto Rico Drug Company Inc

  • Pharmacist
  • San Juan, PR
National Provider Identifier
1003949108
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4014320 Issued in PR
Legal business name
PUERTO RICO DRUG COMPANY INC
Doing business as
Puerto Rico Drug
Practice address
Calle San Francisco # 157
Viejo San Juan
San Juan, PR 00902-3833
Phone
(787) 725-2202
Fax
(787) 721-2002
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alejandro Amador
Title
Owner
Phone
(787) 725-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 4014320 PR Primary

Addresses

Primary practice location

Calle San Francisco # 157
Viejo San Juan
San Juan, PR 00902-3833

Mailing address

PO Box 9023833
San Juan, PR 00902-3833
Phone (787) 725-2202

Other identifiers 1

IdentifierTypeStateIssuer
4014320OtherPRNABP

Other names 1

  • Puerto Rico Drug Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Puerto Rico Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003949108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9023833",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009023833",
            "telephone_number": "787-725-2202",
            "fax_number": "787-721-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SAN FRANCISCO # 157",
            "address_2": "VIEJO SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009023833",
            "telephone_number": "787-725-2202",
            "fax_number": "787-721-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-725-2202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4014320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4014320",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puerto Rico Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.