Active NPI
Med Care Pharmacy Inc
- Community/Retail Pharmacy
- Guaynabo, PR
National Provider Identifier
1013403104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210407001856 | PR | Part B Supplier - Pharmacy | 9032525985 | Practice locations: Guaynabo, PR |
National Provider Directory
National Provider DirectoryNPI 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.