DLR Condado Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

15F2783 Issued in PR

Legal business name

DLR CONDADO PHARMACY

Doing business as

DLR Condado Pharmacy, Inc.

Practice address

186 Calle Juan P Duarte
Hato Rey
San Juan, PR 00917-3602

Phone

(787) 758-0168

Fax

(787) 753-5906

NPI assigned

Dec 7, 2010

Last updated

May 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manuel De Leon

Title

Treasurer

Phone

(787) 758-0138

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• DLR Condado Pharmacy, Inc. Doing business as

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1073816427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195417",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009195417",
            "telephone_number": "787-758-0168",
            "fax_number": "787-753-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 CALLE JUAN P DUARTE",
            "address_2": "HATO REY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173602",
            "telephone_number": "787-758-0168",
            "fax_number": "787-753-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLR CONDADO PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "787-758-0138"
    },
    "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": "15F2783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127984",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DLR Condado Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.