Organization Active NPI

Pao'S Pharmacy, Inc

  • Community/Retail Pharmacy
  • Coamo, PR
National Provider Identifier
1336679331
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
19-F-3499 Issued in PR
Legal business name
PAO'S PHARMACY, INC
Practice address
2 Calle Willie Rosario
Coamo, PR 00769-3289
Phone
(787) 803-3777
Fax
(787) 803-3111
NPI assigned
Jun 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Mrs. Giselle Marie Rolon Vargas
Title
Tesorera
Phone
(787) 463-3519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 19-F-3499 PR Primary

Addresses

Primary practice location

2 Calle Willie Rosario
Coamo, PR 00769-3289

Mailing address

232 Calle 22
Urb la Arboleda
Salinas, PR 00751
Phone (787) 463-3519

Other identifiers 1

IdentifierTypeStateIssuer
038151600MedicaidPR

National Provider Directory

National Provider Directory

Locations

2 Calle Willie Rosario
Coamo, PR 00769
Phone (787) 803-3777

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1336679331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 CALLE 22",
            "address_2": "URB LA ARBOLEDA",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "00751",
            "telephone_number": "787-463-3519",
            "fax_number": "787-803-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE WILLIE ROSARIO",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007693289",
            "telephone_number": "787-803-3777",
            "fax_number": "787-803-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAO'S PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "ROLON VARGAS",
        "authorized_official_first_name": "GISELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "TESORERA",
        "authorized_official_telephone_number": "787-463-3519",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "19-F-3499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038151600",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.