Farmacia la 110

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

FARMACIA LA 110

Practice address

Carr 110 KM 13.0
Bo Pueblo
Moca, PR 00676-0057

Phone

(787) 877-0110

Fax

(787) 818-0110

NPI assigned

Jun 3, 2021

Organization subpart

No

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

Authorized official

Name

Aiza Perez, RPHNPI 1386742344

Title

Owner

Phone

(787) 375-0430

Specialties & licenses 1

Addresses

Other names 2

• FARMACIA LA 110 Doing business as
• aiza perez Other name

Practitioners 1

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

• Aiza Y Perez, FPH

  • Pharmacist
  • Moca, PR
  • NPI 1386742344
  NPD Authorized official

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1124694658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760057",
            "telephone_number": "787-375-0430",
            "fax_number": "787-818-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 110 KM 13.0",
            "address_2": "BO PUEBLO",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760057",
            "telephone_number": "787-877-0110",
            "fax_number": "787-818-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA LA 110",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "AIZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-375-0430",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA LA 110",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "aiza perez",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Farmacia El Divino Nino LLC
• Farmacia Fabi-Sel
• Farmacia Morales Egipciaco
• Farmacia Perpetuo Socorro
• Farmacia San Jose
• Farmacia San Jose Moca LLC
• Farmacia Tu Salud Corp.

• Pharmacist in Moca, PR
• Providers in Moca, PR by specialty
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.