SPS Specialty Pharmacy Services,Inc

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

SPS SPECIALTY PHARMACY SERVICES,INC

Practice address

75 Ave Luis Munoz Marin
Plaza Notre Dame 5
Caguas, PR 00725

Phone

(787) 704-2025

Fax

(787) 704-2027

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Enid Santiago, RPH

Title

Pharmacist

Phone

(787) 704-2025

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Home health agency certification: CCN 407332

Legal name

SPS SPECIALTY PHARMACY SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 1, 2024

Last certification

Oct 25, 2023

Organization structure

CorporationProprietary

Incorporated

Jul 22, 2005 in PR

Enrollment address

Plaza Notre Dame #5
Ave 75 Luis Munoz Marin
Caguas, PR 00725-3856

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• SPS Specialty Pharmacy Services Inc

  • Specialty Pharmacy
  • Caguas, PR
  • NPI 1013070572

  8325232184

  Same PAC ID
• SPS Specialty Pharmacy Services Inc

  dba SPS Specialty Pharmacy Services

  • Infusion Therapy Clinic/Center
  • Caguas, PR
  • NPI 1417334152

  8325232184

  Same PAC ID

Listed as

SPS Specialty Pharmacy Services, IncCCN 407332 · All quality measures

Ownership

-

Certified

May 1, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1366654949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 AVE LUIS MUNOZ MARIN",
            "address_2": "PLAZA NOTRE DAME 5",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-704-2025",
            "fax_number": "787-704-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 AVE LUIS MUNOZ MARIN",
            "address_2": "PLAZA NOTRE DAME 5",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-704-2025",
            "fax_number": "787-704-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPS SPECIALTY PHARMACY SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ENID",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "787-704-2025",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Soto
• Ramon K Sotomayor, MD
• Sports Medicine Caguas, LLC.
• SPS Specialty Pharmacy Services Inc
• SPS Specialty Pharmacy Services Inc (SPS Specialty Pharmacy Services)
• Fabio Alejandro Squicimari de Cardenas, MD
• SRC Dental
• St Lukes Episcopal Church Home Care Program (St. Lukes Home Health Agency Caguas)
• Rosa M Steele, MD
• Stevenjmd LLC

• Home Infusion Therapy Pharmacy in Caguas, PR
• Providers in Caguas, PR by specialty
• Home Infusion Therapy Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.