Shaddai Pharmacy #2 Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHADDAI PHARMACY #2 INC

Practice address

Carr PR 924 KM 2.8 Sector Pitahaya Bo Collores
Humacao, PR 00791

Phone

(787) 991-7696

Fax

(787) 991-7695

NPI assigned

Oct 4, 2018

Organization subpart

No

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

Authorized official

Name

Elizabeth Rivera Rios

Title

President

Phone

(787) 691-2518

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR2 enrollments

Enrollment records 2

Practitioners 1

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

• Elizabeth Rivera, PHARMACIST

  • Pharmacist
  • Humacao, PR
  • NPI 1922121441
  NPD

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1487129672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CALLE OPALO",
            "address_2": "MANSIONES DEL CARIBE",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-691-2518",
            "fax_number": "787-991-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR PR 924 KM 2.8 SECTOR PITAHAYA BO COLLORES",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-991-7696",
            "fax_number": "787-991-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADDAI PHARMACY #2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "RIVERA RIOS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-691-2518"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Servicios de Terapia Fisica Aic, CSP
• Servicios Dentales PSC
• Servicios Medicos RRG & Asoc PSC
• Servicios Pediatricos Salud Dando a Mis Ninos
• Servicios Terapeuticos Neurofoni LLC
• Shaddai Pharmacy Inc.
• Jessica Sifuentes Carrasquillo, MD
• Tamara Silva Gonzalez
• Debbie M Silva Mestre, LND ( DIETITIAN)
• Jennie Marie Silva, PHARM D

• Community/Retail Pharmacy in Humacao, PR
• Providers in Humacao, 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 Oct 4, 2018; 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.