Active NPI
Pharmacare, Inc.
Doing business as Farmacia Rey # 12
- Community/Retail Pharmacy
- San Juan, PR
National Provider Identifier
1063789600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 13F2985
- Legal business name
- PHARMACARE, INC.
- Doing business as
- Farmacia Rey # 12
- Practice address
- 300 Calle Tapia
Esq Gilberto Monroig
San Juan, PR 00912-4219 - Phone
- (787) 982-6969
- Fax
- (787) 982-6767
- NPI assigned
- Nov 28, 2011
- Last updated
- May 31, 2019
- 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
- Aneliese Ayala
- Title
- Vicepresidenta
- Phone
- (787) 692-2449
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 13F2985 | PR | Primary |
Addresses
Primary practice location
300 Calle Tapia
Esq Gilberto Monroig
San Juan, PR 00912-4219
Mailing address
PO Box 260310
San Juan, PR 00926-2621
Phone (787) 692-2449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4028038 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Farmacia Rey # 12
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211019001853 | PR | Part B Supplier - Pharmacy | 6305234626 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Las Piedras, PR; Santurce, PR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Pharmacare Inc
Other organizations with this tax ID 17
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Gurabo, PR
- NPI 1790990109
Locations
219 Calle Barbosa
Las Piedras, PR 00771
Phone (787) 733-0323
300 Calle Tapia
Santurce, PR 00912
Phone (787) 568-8581
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.
-
- Pharmacy Technician
- San Juan, PR
- NPI 1801213988
-
- Pharmacist
- Santurce, PR
- NPI 1932546454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559260800000",
"number": "1063789600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 260310",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009262621",
"telephone_number": "787-692-2449",
"fax_number": "787-287-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CALLE TAPIA",
"address_2": "ESQ GILBERTO MONROIG",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009124219",
"telephone_number": "787-982-6969",
"fax_number": "787-982-6767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-28",
"last_updated": "2019-05-31",
"status": "A",
"authorized_official_last_name": "AYALA",
"authorized_official_first_name": "ANELIESE",
"authorized_official_title_or_position": "VICEPRESIDENTA",
"authorized_official_telephone_number": "787-692-2449"
},
"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": "13F2985",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4028038",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Farmacia Rey # 12",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Farmacia Rey # 12",
"code": "3",
"type": "Doing Business As"
}
]
}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 May 31, 2019; 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.