Active NPI
Farmacia la Amistad Inc
- Community/Retail Pharmacy
- Toa Baja, PR
National Provider Identifier
1114907763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 17F1756
- Legal business name
- FARMACIA LA AMISTAD INC
- Practice address
- Carr 863 KM 2.0 Bo Pajaros
Toa Baja, PR 00949 - Phone
- (787) 780-2054
- Fax
- (787) 798-2125
- NPI assigned
- Jan 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherleen Rivera
- Title
- Owner
- Phone
- (787) 780-2054
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 17F1756 | PR | Primary |
Addresses
Primary practice location
Carr 863 KM 2.0 Bo Pajaros
Toa Baja, PR 00949
Mailing address
HC 1 Box 8017
Toa Baja, PR 00949-9740
Phone (787) 780-2054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2085077 | Other | PK |
Other names 1
- Farmacia la Amistad Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210728001699 | PR | Part B Supplier - Pharmacy | 0749683704 | Practice locations: Toa Baja, PR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Toa Baja, PR
- NPI 1699001453
-
- Pharmacist
- Toa Baja, PR
- NPI 1407511025
-
- Pharmacist
- Toa Baja, PR
- NPI 1609457712
-
- Pharmacist
- Toa Baja, PR
- NPI 1255341913
-
- Pharmacist
- Toa Baja, PR
- NPI 1295867182
-
- Pharmacy Technician
- Toa Baja, PR
- NPI 1083871354
-
- Pharmacist
- Bayamon, PR
- NPI 1689683088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688601600000",
"number": "1114907763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 8017",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009499740",
"telephone_number": "787-780-2054",
"fax_number": "787-798-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 863 KM 2.0 BO PAJAROS",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "00949",
"telephone_number": "787-780-2054",
"fax_number": "787-798-2125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARMACIA LA AMISTAD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-19",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "SHERLEEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-780-2054"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PR",
"license": "17F1756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2085077",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Farmacia la Amistad Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Farmacia la Amistad Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.