Organization Active NPI

Central Drug Dorado. Corp

  • Community/Retail Pharmacy
  • San Juan, PR
National Provider Identifier
1417188244
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CENTRAL DRUG DORADO. CORP
Practice address
Carretera 1 KM 25.5
Sector Los Navarros Bo Quebrada Arena
San Juan, PR 00926
Phone
(787) 783-9855
Fax
(787) 782-7995
NPI assigned
Jul 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Myrtha I Rivera
Title
Presidente
Phone
(787) 783-9855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

Carretera 1 KM 25.5
Sector Los Navarros Bo Quebrada Arena
San Juan, PR 00926

Mailing address

PO Box 192322
San Juan, PR 00919-2322
Phone (787) 783-9855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150611000533 PR DME Supplier - Medical Supply CompanyDME Supplier - Pharmacy 5193046498 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Tax ID family
Central Drug Dorado Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1417188244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192322",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009192322",
            "telephone_number": "787-783-9855",
            "fax_number": "787-782-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 1 KM 25.5",
            "address_2": "SECTOR LOS NAVARROS BO QUEBRADA ARENA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-783-9855",
            "fax_number": "787-782-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DRUG DORADO. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MYRTHA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-783-9855"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.