AIDS Healthcare Foundation
Organization Active NPI Pharmacy · Carolina, PR
NPI 1235634007 · NPPES record last updated Dec 3, 2025
Key facts
- NPI
- 1235634007
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- AIDS HEALTHCARE FOUNDATION
- Practice address
- Paseo del Prado Shopping Center
Locales 107 Y 108 Primer Nivel
Carolina, PR 00987 - Phone
- (787) 300-3214
- Fax
- (888) 965-3974
- NPI assigned
- Mar 26, 2018
- Organization subpart
- No
Authorized official
- Name
- Scott Carruthers
- Title
- Chief Pharmacy Officer
- Phone
- (323) 860-5200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190906000628 | PR | Part B Supplier - Pharmacy | 2668369109 | Practice locations: Carolina, PR |
| O20211011001006 | PR | Part B Supplier - Mass Immunization (Roster Biller Only) | 2668369109 | Practice locations: Carolina, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
Paseo del Prado Shopping Center
Locales 107 Y 108 Primer Nivel
Carolina, PR 00987
Mailing address
18421 S Main St
Gardena, CA 90248-4609
Phone (310) 999-6089
Other names
- AHF Pharmacy
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.