NPIMap

Organization Active NPI

Farmacia Medina Numer 3 Inc

  • Community/Retail Pharmacy
  • Carolina, PR
National Provider Identifier
1194882415
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
16F2658 Issued in PR
Legal business name
FARMACIA MEDINA NUMER 3 INC
Practice address
Ave Comandante
Esq Camp Rico
Carolina, PR 00984
Phone
(787) 752-5111
Fax
(787) 257-3585
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Samuel Medina
Title
President
Phone
(787) 438-4798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 16F2658 PR Primary

Addresses

Primary practice location

Ave Comandante
Esq Camp Rico
Carolina, PR 00984

Mailing address

PO Box 3420
Carolina, PR 00984-3420

Other identifiers 1

IdentifierTypeStateIssuer
2085706OtherPK

Other names 1

  • FARMACIA MEDINA INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmacia Medina 3 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1194882415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3420",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE COMANDANTE",
            "address_2": "ESQ CAMP RICO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00984",
            "telephone_number": "787-752-5111",
            "fax_number": "787-257-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA MEDINA NUMER 3 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-438-4798"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "16F2658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2085706",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA MEDINA INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.