Organization Active NPI

Med Care Pharmacy Inc

  • Community/Retail Pharmacy
  • Guaynabo, PR
National Provider Identifier
1013403104
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MED CARE PHARMACY INC
Practice address
Carretera 199 KM 1.2 Ave Las Cumbres
Guaynabo, PR 00969
Phone
(787) 399-1812
NPI assigned
Jul 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Authorized official

Name
Joan Santiago Amador
Title
Ceo President
Phone
(787) 399-1812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PR Primary

Addresses

Primary practice location

Carretera 199 KM 1.2 Ave Las Cumbres
Guaynabo, PR 00969

Mailing address

PO Box 312
Florida, PR 00650-0312
Phone (787) 399-1812

Other names 1

  • Well Care Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210407001856 PR Part B Supplier - Pharmacy 9032525985 Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1013403104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "006500312",
            "telephone_number": "787-399-1812",
            "fax_number": "787-822-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 199 KM 1.2 AVE LAS CUMBRES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-399-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO AMADOR",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "787-399-1812"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Well Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.