NPIMap

Organization Active NPI

Farmacia del Carmen

  • Durable Medical Equipment & Medical Supplies
  • San Juan, PR
National Provider Identifier
1104028083
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
07F0920 Issued in PR
Legal business name
FARMACIA DEL CARMEN
Practice address
Carr 844 KM 3.0
Cupey Bajo
San Juan, PR 00926
Phone
(787) 748-0880
Fax
(787) 760-1399
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard Negrin
Title
Manager
Phone
(787) 748-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 07F0920 PR Primary

Addresses

Primary practice location

Carr 844 KM 3.0
Cupey Bajo
San Juan, PR 00926

Mailing address

Carr 844
Buzon 1390
San Juan, PR 00926
Phone (787) 748-0880

Other identifiers 1

IdentifierTypeStateIssuer
4010574OtherPRNCDP

Other names 1

  • Luis Martinez Gonzalez Other name

National Provider Directory

National Provider Directory
Tax ID family
Farmacia del Carmen2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104028083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 844",
            "address_2": "BUZON 1390",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-748-0880",
            "fax_number": "787-760-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 844 KM 3.0",
            "address_2": "CUPEY BAJO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-748-0880",
            "fax_number": "787-760-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA DEL CARMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEGRIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-748-0880"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": "07F0920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCDP",
            "identifier": "4010574",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luis Martinez Gonzalez",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.