Active NPI
Premium Pharmacy 3
- Community/Retail Pharmacy
- Carolina, PR
National Provider Identifier
1376438739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PREMIUM PHARMACY 3
- Practice address
- Ste Amadeo Ave Fernandez Juncos SPC 4
Carolina, PR 00979 - Phone
- (787) 341-4893
- NPI assigned
- Jun 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Marcos Enrique Irizarry
- Title
- Administrator
- Phone
- (787) 341-4893
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
Ste Amadeo Ave Fernandez Juncos SPC 4
Carolina, PR 00979
Mailing address
Laguna Gardens Shopping Center
Suite 115-a
Carolina, PR 00979
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762128000000",
"number": "1376438739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LAGUNA GARDENS SHOPPING CENTER",
"address_2": "SUITE 115-A",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STE AMADEO AVE FERNANDEZ JUNCOS SPC 4",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00979",
"telephone_number": "787-341-4893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIUM PHARMACY 3",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-09",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A",
"authorized_official_last_name": "IRIZARRY",
"authorized_official_first_name": "MARCOS",
"authorized_official_middle_name": "ENRIQUE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "787-341-4893",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.