NPIMap

Organization Active NPI

Toa Alta Pharmacy, Inc

Doing business as Farmacia San Jose 4

  • Community/Retail Pharmacy
  • Dorado, PR
National Provider Identifier
1366593329
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
09F0189 Issued in PR
Legal business name
TOA ALTA PHARMACY, INC
Doing business as
Farmacia San Jose 4
Practice address
253 Calle Mendez Vigo
Dorado, PR 00646-4905
Phone
(787) 870-1434
Fax
(787) 870-0169
NPI assigned
Jan 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maria S Marrero
Title
President
Phone
(787) 870-1434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 09F0189 PR Primary

Addresses

Primary practice location

253 Calle Mendez Vigo
Dorado, PR 00646-4905

Mailing address

253 Calle Mendez Vigo
Dorado, PR 00646-4905
Phone (787) 870-1434

Other names 1

  • FARMACIA SAN JOSE 4 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmacia San Jose 13 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

253 Calle Mendez Vigo
Dorado, PR 00646
Phone (787) 796-1120

Practitioners & affiliated clinicians

Practitioners 3

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366593329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 CALLE MENDEZ VIGO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464905",
            "telephone_number": "787-870-1434",
            "fax_number": "787-870-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 CALLE MENDEZ VIGO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464905",
            "telephone_number": "787-870-1434",
            "fax_number": "787-870-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOA ALTA PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-870-1434"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "09F0189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA SAN JOSE 4",
            "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 Aug 22, 2020; 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.