Fame LLC
Organization Active NPI Community/Retail Pharmacy · Vega Baja, PR
NPI 1114001963 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1114001963
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 07-F-0548 (PR)
- Legal business name
- FAME LLC
- Practice address
- 105 Carr 686
KM 17.9
Vega Baja, PR 00693-4551 - Phone
- (787) 858-1231
- Fax
- (787) 858-0983
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Felix A Maldonado, PHARM. D.
- Title
- Pharmacist
- Phone
- (787) 608-0140
Practitioners 1
-
Felix Ali Maldonado, R.PH
National Provider Directory
Locations
105 Carr 686
#179
Vega Baja, PR 00693
Phone (787) 858-1231
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 07-F-0548 | PR | Yes |
Addresses
Primary practice location
105 Carr 686
KM 17.9
Vega Baja, PR 00693-4551
Mailing address
Carretera 686
#105, Edificio San Martn
Vega Baja, PR 00693
Phone (787) 858-1231
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039711500 | Medicaid | PR | |
| DF-04022-0 | Other | PR | SUSTANCIAS CONTROLADAS |
| F-1097666 | Other | PR | PHARMACY LICENSE |
Other names
- Farmacia San Martin
Other providers in Vega Baja, PR
- Dimarys Escudero
- Exitus, Inc.
- Explora LLC
- Eye Specialist
- Eye Specialist LLC
- Farmacia Almirante Norte Inc
- Farmacia Bienestar
- Farmacia Centro Medico Wilma
- Farmacia El Rosario
- Farmacia Glamar
All providers in Vega Baja, 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 30, 2024. 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.