NPIMap

Organization Active NPI

Farmacia Jireh Inc

Doing business as Farmacia Jireh

  • Community/Retail Pharmacy
  • Aguadilla, PR
National Provider Identifier
1063691095
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18F2680 Issued in PR
Legal business name
FARMACIA JIREH INC
Doing business as
Farmacia Jireh
Practice address
Carr 2 KM 122 Caimital Alto
Aguadilla, PR 00603
Phone
(787) 882-7900
Fax
(787) 882-4916
NPI assigned
Oct 26, 2007
Last updated
Mar 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Victor MaisonetNPI 1295041317
Title
President
Phone
(787) 882-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 18F2680 PR Primary

Addresses

Primary practice location

Carr 2 KM 122 Caimital Alto
Aguadilla, PR 00603

Mailing address

213 Urb Valles de Anasco
Anasco, PR 00610-9601
Phone (787) 882-7900

Other identifiers 1

IdentifierTypeStateIssuer
2087581OtherPK

Other names 1

  • FARMACIA JIREH Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1063691095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 URB VALLES DE ANASCO",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006109601",
            "telephone_number": "787-882-7900",
            "fax_number": "787-882-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 122 CAIMITAL ALTO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-882-7900",
            "fax_number": "787-882-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA JIREH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "MAISONET",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-882-7900"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "18F2680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087581",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA JIREH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.