NPIMap

Organization Active NPI

Nova Pharmacy III

  • Community/Retail Pharmacy
  • Santa Isabel, PR
National Provider Identifier
1154739092
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
14F3045 Issued in PR
Legal business name
NOVA PHARMACY III
Practice address
Plaza de la Ceiba Carr. 143 Y 542
Santa Isabel, PR 00757
Phone
(787) 845-2400
Fax
(787) 845-5220
NPI assigned
Jul 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Gerardo Rivera, ING
Title
Owner
Phone
(787) 375-0295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 14F3045 PR Primary

Addresses

Primary practice location

Plaza de la Ceiba Carr. 143 Y 542
Santa Isabel, PR 00757

Mailing address

PO Box 1050
Salinas, PR 00751-1050
Phone (787) 375-0295

Other names 1

  • NOVA PHARMACY 3 Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Nova Pharmacy 33 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1154739092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1050",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007511050",
            "telephone_number": "787-375-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA DE LA CEIBA CARR. 143 Y 542",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-845-2400",
            "fax_number": "787-845-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PHARMACY III",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-375-0295",
        "authorized_official_credential": "ING"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "14F3045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVA PHARMACY 3",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Santa Isabel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.