Organization Active NPI

Farmacia la Amistad Inc

  • Community/Retail Pharmacy
  • Toa Baja, PR
National Provider Identifier
1114907763
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17F1756 Issued in PR
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

Updated by the provider on Jul 6, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2085077OtherPK

Other names 1

  • Farmacia la Amistad Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210728001699 PR Part B Supplier - Pharmacy 0749683704 Practice locations: Toa Baja, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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

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.

Verify at the official NPI Registry.