Active NPI
Santa Cruz Pharma Care, LLC
- Community/Retail Pharmacy
- Bayamon, PR
National Provider Identifier
1225367162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2979
- Legal business name
- SANTA CRUZ PHARMA CARE, LLC
- Practice address
- 73 Calle Santa Cruz
Santa Cruz BLDG, Suite # 101
Bayamon, PR 00961-6910 - Phone
- (787) 798-4646
- NPI assigned
- Dec 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jorge L Reyes, R. PH.
- Title
- Owner
- Phone
- (787) 798-4646
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 2979 | PR | Primary |
Addresses
Primary practice location
73 Calle Santa Cruz
Santa Cruz BLDG, Suite # 101
Bayamon, PR 00961-6910
Mailing address
Edificio Medico Santa Cruz, Suite # 101
Calle Santa Cruz # 73
Bayamon, PR 00961-6911
Phone (787) 798-4646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210223001872 | PR | Part B Supplier - Pharmacy | 6901211077 | Practice locations: Bayamon, PR |
National Provider Directory
National Provider DirectoryLocations
73 Calle Santa Cruz
Ste 101
Bayamon, PR 00961
Phone (787) 798-4646
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bayamon, PR
- NPI 1851521264
-
- Pharmacist
- Bayamon, PR
- NPI 1215472782
-
- Pharmacist
- Bayamon, PR
- NPI 1861998494
-
- Pharmacist
- Bayamon, PR
- NPI 1174393169
-
- Pharmacist
- Bayamon, PR
- NPI 1003602954
-
- Pharmacy Technician
- Bayamon, PR
- NPI 1801923545
-
- Pharmacist
- Bayamon, PR
- NPI 1366594129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454371200000",
"number": "1225367162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EDIFICIO MEDICO SANTA CRUZ, SUITE # 101",
"address_2": "CALLE SANTA CRUZ # 73",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009616911",
"telephone_number": "787-798-4646",
"fax_number": "787-288-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 CALLE SANTA CRUZ",
"address_2": "SANTA CRUZ BLDG, SUITE # 101",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009616910",
"telephone_number": "787-798-4646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA CRUZ PHARMA CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-23",
"last_updated": "2016-02-02",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-798-4646",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R. PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PR",
"license": "2979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.