Organization Active NPI

Drug Shoppe Inc

  • Community/Retail Pharmacy
  • Aibonito, PR
National Provider Identifier
1073661633
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17-F-3257 Issued in PR
Legal business name
DRUG SHOPPE INC
Practice address
Calle San Jose
Ste 59
Aibonito, PR 00705
Phone
(787) 735-2401
Fax
(787) 735-2500
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Rafael Olivencia
Title
Owner Phcst
Phone
(787) 735-2401

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 17-F-3257 PR Primary

Addresses

Primary practice location

Calle San Jose
Ste 59
Aibonito, PR 00705

Mailing address

PO Box 2021
Aibonito, PR 00705-2021
Phone (787) 735-2401

Other identifiers 1

IdentifierTypeStateIssuer
2084551OtherPK

Other names 1

  • FARMACIA SAN JOSE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1073661633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2021",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007052021",
            "telephone_number": "787-735-2401",
            "fax_number": "787-735-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SAN JOSE",
            "address_2": "STE 59",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-735-2401",
            "fax_number": "787-735-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG SHOPPE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "OLIVENCIA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER PHCST",
        "authorized_official_telephone_number": "787-735-2401"
    },
    "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": "17-F-3257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2084551",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA SAN JOSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aibonito, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.