His Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

18-F-3403 Issued in PR

Legal business name

HIS PHARMACY LLC

Practice address

Edificio Pugnado Carr. 137 KM 7.2
Local 2 Bo. Pugnado
Vega Baja, PR 00693-0000

Phone

(787) 965-7999

Fax

(787) 965-7998

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Coralys Morales

Title

President

Phone

(939) 717-5670

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• HIS Pharmacy Doing business as

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1376093401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PASEO LOS CORALES II",
            "address_2": "766 CALLE MAR DEL NORTE",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460000",
            "telephone_number": "939-717-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO PUGNADO CARR. 137 KM 7.2",
            "address_2": "LOCAL 2 BO. PUGNADO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006930000",
            "telephone_number": "787-965-7999",
            "fax_number": "787-965-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "CORALYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-717-5670"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "18-F-3403",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164661",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIS Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Community/Retail Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.