Organization Active NPI

San Arcangel Pharmacy

Doing business as Farmacia San Arcangel

  • Pharmacist
  • Caguas, PR
National Provider Identifier
1114027141
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
07-F-0258 Issued in PR
Legal business name
SAN ARCANGEL PHARMACY
Doing business as
Farmacia San Arcangel
Practice address
2 Calle Munoz Rivera
Caguas, PR 00725-2603
Phone
(787) 744-3400
Fax
(787) 258-3400
NPI assigned
Sep 22, 2006
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Mrs. Lillian Quintero, R. PH.
Title
President
Phone
(787) 744-3400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4015207 PR
Pharmacist 183500000X 07-F-0258 PR Primary

Addresses

Primary practice location

2 Calle Munoz Rivera
Caguas, PR 00725-2603

Mailing address

PO Box 863
Caguas, PR 00726-0863
Phone (787) 744-3400

Other identifiers 1

IdentifierTypeStateIssuer
07-F-0258OtherPRSTATE LICENCE P.R.

Other names 1

  • FARMACIA SAN ARCANGEL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930071456 PR DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Oxygen & Equipment 8426261165 Practice locations: Caguas, PR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Farmacia San Arcangel2 Calle Munoz Rivera, Caguas, PR 00725-2603(787) 744-3400 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: … Accepts assignmentParticipating since Jan 1, 2004

National Provider Directory

National Provider Directory
Tax ID family
Farmacia San Arcangel2 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.

Locations

2 Calle Munoz Rivera
Caguas, PR 00725
Phone (787) 344-1366

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1114027141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007260863",
            "telephone_number": "787-744-3400",
            "fax_number": "787-258-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE MUNOZ RIVERA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252603",
            "telephone_number": "787-744-3400",
            "fax_number": "787-258-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ARCANGEL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "QUINTERO",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-744-3400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": "4015207",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "07-F-0258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE P.R.",
            "identifier": "07-F-0258",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA SAN ARCANGEL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.