Organization Active NPI

Farmacia Universal Ejd Inc

Doing business as Farmacia Universal

  • Community/Retail Pharmacy
  • Caguas, PR
National Provider Identifier
1013067339
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
14F2599 Issued in PR
Legal business name
FARMACIA UNIVERSAL EJD INC
Doing business as
Farmacia Universal
Practice address
80 Ave L Munoz Marin
Ste 105
Caguas, PR 00725-4080
Phone
(787) 743-6849
Fax
(787) 743-6849
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Dianna Matar, RPH
Title
Owner
Phone
(787) 743-6849

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 14F2599 PR Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

80 Ave L Munoz Marin
Ste 105
Caguas, PR 00725-4080

Mailing address

80 Ave L Munoz Marin
Ste 105
Caguas, PR 00725-4080
Phone (787) 743-6849

Other identifiers 1

IdentifierTypeStateIssuer
4021793OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • FARMACIA UNIVERSAL Doing business as

National Provider Directory

National Provider Directory

Locations

80 Ave Luis Munoz Marin
Ste 105
Caguas, PR 00725
Phone (787) 743-6849

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1013067339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 AVE L MUNOZ MARIN",
            "address_2": "STE 105",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007254080",
            "telephone_number": "787-743-6849",
            "fax_number": "787-743-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 AVE L MUNOZ MARIN",
            "address_2": "STE 105",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007254080",
            "telephone_number": "787-743-6849",
            "fax_number": "787-743-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA UNIVERSAL EJD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "MATAR",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-743-6849",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "14F2599",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4021793",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA UNIVERSAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.