NPIMap

Organization Active NPI

Nova Pharmacy 3

Doing business as Nova Pharmacy 3 Inc

  • Community/Retail Pharmacy
  • Santa Isabel, PR
National Provider Identifier
1184011579
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17F3273 Issued in PR
Legal business name
NOVA PHARMACY 3
Doing business as
Nova Pharmacy 3 Inc
Practice address
Plaza la Ceiba Shopping Center #8
Bo Felicia 2
Santa Isabel, PR 00757
Phone
(787) 845-0404
Fax
(787) 845-0505
NPI assigned
Apr 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 17F3273 PR Primary

Addresses

Primary practice location

Plaza la Ceiba Shopping Center #8
Bo Felicia 2
Santa Isabel, PR 00757

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
2148190OtherPK

Other names 1

  • NOVA PHARMACY 3 INC Doing business as

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": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1184011579",
    "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",
            "fax_number": "787-845-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA LA CEIBA SHOPPING CENTER #8",
            "address_2": "BO FELICIA 2",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-845-0404",
            "fax_number": "787-845-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PHARMACY 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "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"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "17F3273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148190",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVA PHARMACY 3 INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 23, 2015; 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.