Organization Active NPI

Santa Cruz Pharma Care, LLC

  • Community/Retail Pharmacy
  • Bayamon, PR
National Provider Identifier
1225367162
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2979 Issued in PR
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

Updated by the provider on Feb 2, 2016

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.NPI 1851521264
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20210223001872 PR Part B Supplier - Pharmacy 6901211077 Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.