NPIMap

Organization Active NPI

San Pedro Pharmacy Corp

  • Community/Retail Pharmacy
  • Guaynabo, PR
National Provider Identifier
1427092733
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18F3190 Issued in PR
Legal business name
SAN PEDRO PHARMACY CORP
Doing business as
San Pedro Pharmacy Corp.
Practice address
7 Calle Munoz Rivera
Guaynabo, PR 00969-5705
Phone
(787) 720-2196
Fax
(787) 287-8169
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Brenda Rivera
Title
President
Phone
(787) 404-7655

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 18F3190 PR Primary

Addresses

Primary practice location

7 Calle Munoz Rivera
Guaynabo, PR 00969-5705

Mailing address

PO Box 296
Guaynabo, PR 00970-0296
Phone (787) 720-2196

Other identifiers 1

IdentifierTypeStateIssuer
2146196OtherPK

Other names 1

  • San Pedro Pharmacy Corp. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Pedro Pharmacy Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1427092733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009700296",
            "telephone_number": "787-720-2196",
            "fax_number": "787-287-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CALLE MUNOZ RIVERA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695705",
            "telephone_number": "787-720-2196",
            "fax_number": "787-287-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN PEDRO PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-404-7655"
    },
    "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": "18F3190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146196",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Pedro Pharmacy Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.