NPIMap

Organization Active NPI

A.Cordero Badillo,Inc

Doing business as Farmacia Grande Dorado

  • Community/Retail Pharmacy
  • Dorado, PR
National Provider Identifier
1417090382
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
11F2319 Issued in PR
Legal business name
A.CORDERO BADILLO,INC
Doing business as
Farmacia Grande Dorado
Practice address
693 Road KM 8
Dorado del Mar SHP CNTR
Dorado, PR 00646
Phone
(787) 278-6011
Fax
(787) 278-6012
NPI assigned
Feb 14, 2007
Last updated
Jun 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Linnette VallellanesNPI 1528101417
Title
Phcy Dir
Phone
(787) 638-8955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 11F2319 PR Primary

Addresses

Primary practice location

693 Road KM 8
Dorado del Mar SHP CNTR
Dorado, PR 00646

Mailing address

PO Box 458
Catano, PR 00963-0458

Other identifiers 1

IdentifierTypeStateIssuer
4025119OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • FARMACIA GRANDE DORADO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Cordero Badillo Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1417090382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "009630458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 ROAD KM 8",
            "address_2": "DORADO DEL MAR SHP CNTR",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-278-6011",
            "fax_number": "787-278-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.CORDERO BADILLO,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "VALLELLANES",
        "authorized_official_first_name": "LINNETTE",
        "authorized_official_title_or_position": "PHCY DIR",
        "authorized_official_telephone_number": "787-638-8955"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "11F2319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4025119",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA GRANDE DORADO",
            "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 Jun 1, 2010; 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.