San Sebastian Pharmacy Express

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

18F3053 Issued in PR

Legal business name

SAN SEBASTIAN PHARMACY EXPRESS

Practice address

Carr 119 KM 38.0 Barrio Calabasas
San Sebastian, PR 00685

Phone

(787) 896-4747

Fax

(787) 896-5898

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Luz Rivera Sanchez, RPH

Title

Owner

Phone

(787) 896-4747

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SAN SEBASTIAN PHARMACY EXPRESS Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Tax ID family

San Sebastian Farmacy Express2 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.

• San Sebastian Farmacy Express

  • Dialysis Equipment & Supplies (DME)
  • San Sebastian, PR
  • NPI 1104844364
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luz L Rivera

  • Pharmacist
  • San Sebastian, PR
  • NPI 1508988403
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1306968151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3235",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006857004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 119 KM 38.0 BARRIO CALABASAS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-896-4747",
            "fax_number": "787-896-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN SEBASTIAN PHARMACY EXPRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "RIVERA SANCHEZ",
        "authorized_official_first_name": "LUZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-896-4747",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "18F3053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087436",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN SEBASTIAN PHARMACY EXPRESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yaleidy Ruiz
• Salud Dorada SS, CSP
• San Sebastian Enterprises Inc
• San Sebastian Enterprises Inc
• San Sebastian Farmacy Express
• San Sebastian X Ray
• Luis Fernando Sanchez-Troche, DMD
• Carmen I Sanchez, PHARMACIST
• Cidmarie Sanchez Sanchez
• Sandut Inc

• Community/Retail Pharmacy in San Sebastian, PR
• Providers in San Sebastian, 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 Aug 3, 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.