Farmacia Morell, Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

09F0058 Issued in PR

Legal business name

FARMACIA MORELL, CORP

Practice address

1 Avenida Munoz Rivera Oeste
Suite 1
Camay, PR 00627

Phone

(787) 898-3042

Fax

(787) 820-2747

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Enrique Diaz Sr.

Title

Owner

Phone

(787) 898-3045

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Farmacia Morell, Corp Former legal business name

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1124158084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AVE MUNOZ RIVERA OESTE",
            "address_2": "SUITE 1",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006272635",
            "telephone_number": "787-898-3042",
            "fax_number": "787-820-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AVENIDA MUNOZ RIVERA OESTE",
            "address_2": "SUITE 1",
            "city": "CAMAY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "787-898-3042",
            "fax_number": "787-820-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA MORELL, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-898-3045",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "09F0058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4002844",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia Morell, Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.