Organization Active NPI

Farmacia Lisyai Inc

  • Community/Retail Pharmacy
  • Gurabo, PR
National Provider Identifier
1053512764
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
09F2517 Issued in PR
Legal business name
FARMACIA LISYAI INC
Practice address
Carr 189 KM 6.4 Centro Comercial Marinaplaza
Local 9-10-11 Urb Villa Maria
Gurabo, PR 00778
Phone
(787) 737-1133
Fax
(787) 737-0793
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Mr. Angel E Pena
Title
Owner
Phone
(787) 737-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 09F2517 PR Primary

Addresses

Primary practice location

Carr 189 KM 6.4 Centro Comercial Marinaplaza
Local 9-10-11 Urb Villa Maria
Gurabo, PR 00778

Mailing address

PO Box 1346
Gurabo, PR 00778
Phone (787) 737-1133

Other identifiers 1

IdentifierTypeStateIssuer
038101700MedicaidPR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1053512764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1346",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-737-1133",
            "fax_number": "787-737-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 189 KM 6.4 CENTRO COMERCIAL MARINAPLAZA",
            "address_2": "LOCAL 9-10-11 URB VILLA MARIA",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-737-1133",
            "fax_number": "787-737-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA LISYAI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-737-1133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "09F2517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038101700",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.