Farmacia Gandulla

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11F1459 Issued in PR

Legal business name

FARMACIA GANDULLA

Practice address

Carr 108 KM 2 6 Int Miradero
Mayaguez, PR 00682

Phone

(787) 265-2684

Fax

(787) 265-2684

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Leda Santiago

Title

Pharmacist

Phone

(787) 265-2684

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• FARMACIA SERRANO MIRADERO Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1275740490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MIRADERO PLAZA 1190 CARR 108",
            "address_2": "SUITE 101",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-265-2684",
            "fax_number": "787-265-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 108 KM 2 6 INT MIRADERO",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-265-2684",
            "fax_number": "787-265-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA GANDULLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "LEDA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "787-265-2684"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "11F1459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4020462",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA SERRANO MIRADERO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Community/Retail Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.