Farmacia Profesional – Community/Retail Pharmacy

Key facts

NPI: 1104079904
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
License: 5195 (PR)
Legal business name: FARMACIA PROFESIONAL
Practice address: 22 Calle Barbosa
Adjuntas, PR 00601-2209
Phone: (787) 677-9324
NPI assigned: Oct 24, 2008
Organization subpart: No

Authorized official

Name: Anibal Rodriguez, PHARMD, MT NPI 1356423388
Title: Owner
Phone: (787) 677-9324

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

Anibal Rodriguez, PHARMD Pharmacist · Adjuntas, PR · NPI 1356423388

NPD (past) Authorized official
Frances Ortiz, PHARM.D, M.B.A., CPH Pharmacist · Adjuntas, PR · NPI 1659456127

NPD (past)

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Retail Pharmacy	3336C0003X	5195	PR	Yes

Addresses

Primary practice location

22 Calle Barbosa
Adjuntas, PR 00601-2209

Mailing address

22 Calle Barbosa
Adjuntas, PR 00601-2209
Phone (787) 677-9324

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 24, 2008.

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1104079904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CALLE BARBOSA",
            "city": "ADJUNTAS",
            "state": "PR",
            "postal_code": "006012209",
            "telephone_number": "787-677-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CALLE BARBOSA",
            "city": "ADJUNTAS",
            "state": "PR",
            "postal_code": "006012209",
            "telephone_number": "787-677-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA PROFESIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ANIBAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-677-9324",
        "authorized_official_credential": "PHARMD, MT"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "5195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adjuntas, PR

All providers in Adjuntas, PR · Community/Retail Pharmacy in Puerto Rico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.