NPIMap

Organization Active NPI

San Juan Medical Pharmacy

  • Pharmacy
  • San Juan, PR
National Provider Identifier
1255463444
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
07-F-2199 Issued in PR
Legal business name
SAN JUAN MEDICAL PHARMACY
Practice address
M3 Calle Clavel
Parques de Santa Maria
San Juan, PR 00927-6738
Phone
(787) 725-2737
Fax
(787) 725-1667
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Mrs. Samira Mieles
Title
Pharmacist
Phone
(787) 725-2737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 07-F-2199 PR Primary

Addresses

Primary practice location

M3 Calle Clavel
Parques de Santa Maria
San Juan, PR 00927-6738

Mailing address

M3 Calle Clavel
Parques de Santa Maria
San Juan, PR 00927-6738
Phone (787) 725-2737

National Provider Directory

National Provider Directory
Tax ID family
ASC San Juan Medical Plaza4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1255463444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "M3 CALLE CLAVEL",
            "address_2": "PARQUES DE SANTA MARIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276738",
            "telephone_number": "787-725-2737",
            "fax_number": "787-725-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "M3 CALLE CLAVEL",
            "address_2": "PARQUES DE SANTA MARIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276738",
            "telephone_number": "787-725-2737",
            "fax_number": "787-725-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN MEDICAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "MIELES",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "787-725-2737",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PR",
            "license": "07-F-2199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.