Organization Active NPI

FK Group, Inc.

Doing business as Farmacia El Paseo

  • Community/Retail Pharmacy
  • Yauco, PR
National Provider Identifier
1063553444
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18-F-3406 Issued in PR
Legal business name
FK GROUP, INC.
Doing business as
Farmacia El Paseo
Practice address
31 Prolongacion Calle 25 de Julio
Yauco, PR 00698
Phone
(787) 856-1175
Fax
(787) 267-3769
NPI assigned
Feb 9, 2007
Last updated
Jan 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Mrs. Lizbeth Ramos
Title
Owner
Phone
(787) 856-1175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 18-F-3406 PR Primary

Addresses

Primary practice location

31 Prolongacion Calle 25 de Julio
Yauco, PR 00698

Mailing address

29 Calle Prol 25 de Julio
Yauco, PR 00698-3550
Phone (787) 856-1175

Other names 1

  • FARMACIA EL PASEO Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220726002066 PR Part B Supplier - Pharmacy 4183006976 Practice locations: Yauco, PR

National Provider Directory

National Provider Directory

Locations

29 Calle Prol 25 de Julio
Yauco, PR 00698

31 Calle 25 de Julio
Yauco, PR 00698
Phone (787) 856-1175

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1063553444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CALLE PROL 25 DE JULIO",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983550",
            "telephone_number": "787-856-1175",
            "fax_number": "787-267-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PROLONGACION CALLE 25 DE JULIO",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-856-1175",
            "fax_number": "787-267-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FK GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "LIZBETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-856-1175",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "18-F-3406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA EL PASEO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yauco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.