Organization Active NPI

Lumen Mendez Pharmacy/Farmacia Lumen Mendez

  • Community/Retail Pharmacy
  • Lares, PR
National Provider Identifier
1477634798
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LUMEN MENDEZ PHARMACY/FARMACIA LUMEN MENDEZ
Practice address
10 Calle Pedro Albizu Campos
Lares, PR 00669-2434
Phone
(787) 897-2050
Fax
(787) 897-2778
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Carlos D Ortiz
Title
President
Phone
(787) 897-2050

Specialties & licenses 1

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

Addresses

Primary practice location

10 Calle Pedro Albizu Campos
Lares, PR 00669-2434

Mailing address

10 Calle Pedro Albizu Campos
Lares, PR 00669-2434
Phone (787) 897-2050

Other names 4

  • Farmacia Lumen Mendez Doing business as
  • LUMEN MENDEZ PHARMACY/FARMACIA LUMEN MENDEZ Former legal business name
  • Carlos D Ortiz Other name
  • Charlie Fernandez Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260623004982 PR Part B Supplier - Pharmacy 0941773741 Practice locations: Lares, PR

National Provider Directory

National Provider Directory

Locations

10 Calle Pedro Albizu Campos
Lares, PR 00669
Phone (787) 897-2050

Practitioners & affiliated clinicians

Practitioners 9

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1477634798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALLE PEDRO ALBIZU CAMPOS",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006692434",
            "telephone_number": "787-897-2050",
            "fax_number": "787-897-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE PEDRO ALBIZU CAMPOS",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006692434",
            "telephone_number": "787-897-2050",
            "fax_number": "787-897-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMEN MENDEZ PHARMACY/FARMACIA LUMEN MENDEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-897-2050"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia Lumen Mendez",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LUMEN MENDEZ PHARMACY/FARMACIA LUMEN MENDEZ",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Carlos D Ortiz",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Charlie Fernandez",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lares, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.