Organization Active NPI

Norma I Medina Rivera

  • Community/Retail Pharmacy
  • Juana Diaz, PR
National Provider Identifier
1104071828
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
20-F-3371 Issued in PR
Legal business name
NORMA I MEDINA RIVERA
Practice address
Carr. #1 KM 113.60 Bo. Cintrona
Juana Diaz, PR 00795
Phone
(787) 260-3804
Fax
(787) 260-3833
NPI assigned
Nov 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Authorized official

Name
Norma Medina
Title
Owner
Phone
(787) 260-3804

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 20-F-3371 PR Primary

Addresses

Primary practice location

Carr. #1 KM 113.60 Bo. Cintrona
Juana Diaz, PR 00795

Mailing address

HC 04 Bo 8191
Juana Diaz, PR 00795-9872
Phone (787) 260-3804

Other identifiers 1

IdentifierTypeStateIssuer
2118303OtherPK

Other names 1

  • Farmacia Guayabal #2 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": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1104071828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 04 BO 8191",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959872",
            "telephone_number": "787-260-3804",
            "fax_number": "787-260-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #1 KM 113.60 BO. CINTRONA",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-260-3804",
            "fax_number": "787-260-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMA I MEDINA RIVERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-260-3804"
    },
    "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": "20-F-3371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118303",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia Guayabal #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Juana Diaz, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.