San Juan Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SAN JUAN PHARMACY LLC

Doing business as

san juan pharmacia

Practice address

200 W Buttonwood St
Reading, PA 19601-2603

Phone

(484) 339-0911

Fax

(484) 339-1911

NPI assigned

Jun 9, 2020

Last updated

Jun 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Pragnesh R Patel, PHARMACIST

Title

Pharmacist in Charge

Phone

(904) 673-0588

Specialties & licenses 2

Addresses

Other names 1

• san juan pharmacia Doing business as

Locations

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1386269033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W BUTTONWOOD ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196012603",
            "telephone_number": "484-339-0911",
            "fax_number": "484-339-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W BUTTONWOOD ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196012603",
            "telephone_number": "484-339-0911",
            "fax_number": "484-339-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAGNESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "904-673-0588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "san juan pharmacia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Salisbury, DO
• Barbara Salvitti, CRNA
• Osvaldo Joel Samboy Perez
• Cheresha Lynn Samuels, CRNP
• San Juan de Dios LLC
• Sanative Healthcare PLLC
• Teresa Ellen Sanders, M.ED
• Navdeep Kaur Sandhu, D.M.D.
• Sundeep Singh Sandhu, DMD
• Taylor Sandin

• Community/Retail Pharmacy in Reading, PA
• Providers in Reading, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.