NPIMap

Organization Active NPI

Mangual & Menchaca, Inc

  • Pharmacy
  • Humacao, PR
National Provider Identifier
1366434813
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
07-F-1210 Issued in PR
Legal business name
MANGUAL & MENCHACA, INC
Practice address
Ave. Font Martelo # 124 Esq. Antonio Lopez
Humacao, PR 00791
Phone
(787) 850-9246
Fax
(787) 850-5600
NPI assigned
Aug 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Mrs. Marisel Menchaca, PHARMACISTNPI 1023170685
Title
President
Phone
(787) 850-9246

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 07-F-1210 PR Primary

Addresses

Primary practice location

Ave. Font Martelo # 124 Esq. Antonio Lopez
Humacao, PR 00791

Mailing address

PO Box 8567
Humacao, PR 00792-8567
Phone (787) 850-9246

Other identifiers 1

IdentifierTypeStateIssuer
4014750OtherPRNABP

Other names 1

  • FARMACIA MARISEL 2 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210504001531 PR Part B Supplier - Pharmacy 3375663677 Practice locations: Humacao, PR

National Provider Directory

National Provider Directory
Tax ID family
Farmacia Marisel3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

104 Calle Font Martelo E
Humacao, PR 00791
Phone (787) 850-9246

124 Ave Font Martelo
Humacao, PR 00791
Phone (787) 850-9246

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1366434813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8567",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007928567",
            "telephone_number": "787-850-9246",
            "fax_number": "787-850-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. FONT MARTELO # 124 ESQ. ANTONIO LOPEZ",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-850-9246",
            "fax_number": "787-850-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGUAL & MENCHACA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "MENCHACA",
        "authorized_official_first_name": "MARISEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-850-9246",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PR",
            "license": "07-F-1210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4014750",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA MARISEL 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.