Active NPI
Farmacia la Ideal, Inc.
- Pharmacist
- Santa Isabel, PR
National Provider Identifier
1487634101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 07-F-0396
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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 DirectoryLocations
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.
-
- Pharmacist
- Santa Isabel, PR
- NPI 1952991721
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.