Farmavida LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FARMAVIDA LLC

Practice address

Carr 2 KM 119.5 Bo Caimital Alto
Aguadilla, PR 00603-9197

Phone

(787) 432-1645

NPI assigned

May 16, 2024

Last updated

Nov 15, 2024By 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

Pedro J Maisonet, RPH

Title

Pharmacist

Phone

(787) 891-6539

Specialties & licenses 1

Addresses

Other names 1

• FarmaVida Former legal business name

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.

• Pedro J Maisonet Rivera, RPH

  • Pharmacist
  • Aguadilla, PR
  • NPI 1841585197
  NPD

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1447009915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 30402",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039197",
            "telephone_number": "787-891-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 119.5 BO CAIMITAL ALTO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039197",
            "telephone_number": "787-432-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMAVIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "MAISONET",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "787-891-6539",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FarmaVida",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "FarmaVida",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community/Retail Pharmacy in Aguadilla, PR
• Providers in Aguadilla, 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 Nov 15, 2024; 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.