Organization Active NPI

Egm Pharmacy Inc

Doing business as Farmacia De Diego

  • Community/Retail Pharmacy
  • Mayaguez, PR
National Provider Identifier
1285798967
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EGM PHARMACY INC
Doing business as
Farmacia De Diego
Practice address
15 Calle Dr Ramon E Betances N Bo Mayaguez
Mayaguez, PR 00680
Phone
(787) 832-4200
Fax
(787) 832-1874
NPI assigned
Dec 20, 2006
Last updated
Sep 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Glendalis Vargas, PHARM DNPI 1235773300
Title
Pharmacist in Charge, Owner
Phone
(787) 832-4200

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 Primary

Addresses

Primary practice location

15 Calle Dr Ramon E Betances N Bo Mayaguez
Mayaguez, PR 00680

Mailing address

15 Calle Dr Ramon E Betances N Bo Mayaguez
Mayaguez, PR 00680
Phone (787) 832-4200

Other identifiers 1

IdentifierTypeStateIssuer
4019445OtherPRNCPDP

Other names 1

  • Farmacia De Diego Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Egm Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15 Calle Dr Ramon E Betances N
Mayaguez, PR 00680
Phone (787) 832-1874

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1285798967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CALLE DR RAMON E BETANCES N BO MAYAGUEZ",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-832-4200",
            "fax_number": "787-832-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CALLE DR RAMON E BETANCES N BO MAYAGUEZ",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-832-4200",
            "fax_number": "787-832-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2024-09-06",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "GLENDALIS",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE, OWNER",
        "authorized_official_telephone_number": "787-832-4200",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4019445",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia De Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.