NPIMap

Organization Active NPI

Medic Pharmacy

  • PACE Provider Organization
  • San Juan, PR
National Provider Identifier
1033651252
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
17-F-1249 Issued in PR
Legal business name
MEDIC PHARMACY
Practice address
1228 Calle 9 SE Esq 52
Reparto Metropolitano
San Juan, PR 00921
Phone
(787) 758-8497
Fax
(787) 759-8192
NPI assigned
Nov 7, 2016
Last updated
Nov 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Mr. Alcides Figueroa
Title
President
Phone
(787) 674-0928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X 17-F-1249 PR Primary

Addresses

Primary practice location

1228 Calle 9 SE Esq 52
Reparto Metropolitano
San Juan, PR 00921

Mailing address

1228 Calle 9 SE Esq 52
Urb Reparto Metropolitano
San Juan, PR 00921
Phone (787) 758-8497

National Provider Directory

National Provider Directory
Tax ID family
Medic Pharmacy2 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1033651252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 CALLE 9 SE ESQ 52",
            "address_2": "URB REPARTO METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-758-8497",
            "fax_number": "787-759-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 CALLE 9 SE ESQ 52",
            "address_2": "REPARTO METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-758-8497",
            "fax_number": "787-759-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "ALCIDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-674-0928",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "PR",
            "license": "17-F-1249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 7, 2016; 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.