Farmacia Lago Vista Inc Calle Cayman

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

19F0278 Issued in PR

Legal business name

FARMACIA LAGO VISTA INC CALLE CAYMAN

Practice address

Ave Blvd 3386 Levittown
Paseo Carmen 3385-86
Toa Baja, PR 00949

Phone

(787) 784-4585

Fax

(787) 795-1465

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Vicmaris Gonzalez

Title

Vice-President

Phone

(787) 784-4585

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Iris B Rivera, PHARMACIST

  • Pharmacist
  • Toa Baja, PR
  • NPI 1669643870
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1437295094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51063",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501063",
            "telephone_number": "787-784-4585",
            "fax_number": "787-795-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE BLVD 3386 LEVITTOWN",
            "address_2": "PASEO CARMEN 3385-86",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-784-4585",
            "fax_number": "787-795-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA LAGO VISTA INC CALLE CAYMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "VICMARIS",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "787-784-4585"
    },
    "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": "19F0278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2084147",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramon E. Espada Gonzalez, MASTER
• Farmacia Candelaria
• Farmacia Coralis Inc.
• Farmacia Covadonga Inc
• Farmacia la Amistad Inc
• Farmacia Marchand (Farmacia Toa Baja)
• Farmacia Medina Levittown
• Farmacia Mia Blvd LLC
• Farmacia Patria
• Fast Care Ambulance LLC

• Community/Retail Pharmacy in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Community/Retail Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.