Organization Active NPI

Farmacia la Ideal, Inc.

  • Pharmacist
  • Santa Isabel, PR
National Provider Identifier
1487634101
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
07-F-0396 Issued in PR
Legal business name
FARMACIA LA IDEAL, INC.
Practice address
4 Calle Celis Aguilera
Santa Isabel, PR 00757-2622
Phone
(787) 845-4690
Fax
(787) 845-4731
NPI assigned
Jan 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Maria Dejesus, BSPH
Title
Pharmacist, Co-Owner
Phone
(787) 845-4692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 07-F-0396 PR Primary

Addresses

Primary practice location

4 Calle Celis Aguilera
Santa Isabel, PR 00757-2622

Mailing address

4 Celis Aguilera St.
P.O. Box 139
Santa Isabel, PR 00757-0139
Phone (787) 845-4690

National Provider Directory

National Provider Directory

Locations

4 Calle Celis Aguilera
Santa Isabel, PR 00757
Phone (787) 845-4690

Practitioners & affiliated clinicians

Practitioners 1

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": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487634101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CELIS AGUILERA ST.",
            "address_2": "P.O. BOX 139",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007570139",
            "telephone_number": "787-845-4690",
            "fax_number": "787-845-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CALLE CELIS AGUILERA",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007572622",
            "telephone_number": "787-845-4690",
            "fax_number": "787-845-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA LA IDEAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PHARMACIST, CO-OWNER",
        "authorized_official_telephone_number": "787-845-4692",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "07-F-0396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Isabel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.