Northwest Pharmacy Group LLC.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NORTHWEST PHARMACY GROUP LLC.

Doing business as

Farmacia El Eden

Practice address

Carr. 110 KM 22.9 Barrio Ceiba Baja
Aguadilla, PR 00603

Phone

(787) 882-2000

Fax

(787) 891-8614

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Ricardo A Marchese

Title

Owner

Phone

(787) 636-1512

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Farmacia El Eden Doing business as

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1093872780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 URB.ALTAMIRA",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-636-1512",
            "fax_number": "787-891-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 110 KM 22.9 BARRIO CEIBA BAJA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-882-2000",
            "fax_number": "787-891-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PHARMACY GROUP LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "MARCHESE",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-636-1512"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038243000",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP OR NABP NUMBER",
            "identifier": "4018708",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia El Eden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Community/Retail Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.