Active NPI
Drug Shoppe Inc
- Community/Retail Pharmacy
- Aibonito, PR
National Provider Identifier
1073661633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 17-F-3257
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2084551 | Other | PK |
Other names 1
- FARMACIA SAN JOSE
National Provider Directory
National Provider DirectoryNPI 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.