NPIMap

Organization Active NPI

Farmacia de Jesus

  • Community/Retail Pharmacy
  • Toa Alta, PR
National Provider Identifier
1013052307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07-F-0279 Issued in PR
Legal business name
FARMACIA DE JESUS
Practice address
27 Calle Munoz Rivera
Esq. Barcelo
Toa Alta, PR 00954
Phone
(787) 870-0993
Fax
(787) 870-0993
NPI assigned
Feb 21, 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
Hector Edgardo De Jesus
Title
Owner
Phone
(787) 870-0993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 07-F-0279 PR Primary

Addresses

Primary practice location

27 Calle Munoz Rivera
Esq. Barcelo
Toa Alta, PR 00954

Mailing address

PO Box 1331
Toa Alta, PR 00954-1331
Phone (787) 870-0993

National Provider Directory

National Provider Directory

Locations

27 Calle Luis Munoz Rivera
Toa Alta, PR 00953

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013052307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1331",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009541331",
            "telephone_number": "787-870-0993",
            "fax_number": "787-870-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CALLE MUNOZ RIVERA",
            "address_2": "ESQ. BARCELO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00954",
            "telephone_number": "787-870-0993",
            "fax_number": "787-870-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA DE JESUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "EDGARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-870-0993"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "07-F-0279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, 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.