NPIMap

Organization Active NPI

Optima Health RX, LLC

Doing business as The Pharmacy

  • Pharmacy
  • Dorado, PR
National Provider Identifier
1316686413
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
OPTIMA HEALTH RX, LLC
Doing business as
The Pharmacy
The Pharmacy at Sabanera Health
Practice address
Carr 696 Int Ave. Efron
Bo Higuillar
Dorado, PR 00646
Phone
(787) 625-5050
NPI assigned
May 27, 2022
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
OPTIMA INFUSION PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Mrs. Mariely Diaz, PHARMDNPI 1861746836
Title
President
Phone
(787) 883-5959

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
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

Carr 696 Int Ave. Efron
Bo Higuillar
Dorado, PR 00646

Mailing address

HC 3 Box 7525
Dorado, PR 00646-9539
Phone (787) 883-5959

Other identifiers 1

IdentifierTypeStateIssuer
F-1128108OtherPRLICENSE

Other names 2

  • The Pharmacy Doing business as
  • The Pharmacy at Sabanera Health Doing business as

National Provider Directory

National Provider Directory
Part of
Optima Infusion Pharmacy Inc

Practitioners & affiliated clinicians

Practitioners 1

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": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1316686413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 7525",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006469539",
            "telephone_number": "787-883-5959",
            "fax_number": "787-883-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 696 INT AVE. EFRON",
            "address_2": "BO HIGUILLAR",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-625-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA HEALTH RX, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMA INFUSION PHARMACY INC",
        "enumeration_date": "2022-05-27",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARIELY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-883-5959",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "F-1128108",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Pharmacy at Sabanera Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.