Physician Management Corporation of America

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

17-F-2967 Issued in PR

Legal business name

PHYSICIAN MANAGEMENT CORPORATION OF AMERICA

Practice address

282 Pinero Ave.
Suite 200C
San Juan, PR 00921

Phone

(787) 523-2900

Fax

(787) 957-6220

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sultan Yassin, PHARMD

Title

President

Phone

(787) 523-2900

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Medplus - A Plus Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Tax ID family

Physician Management Corporation of America2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Physician Management Corporation of America

  • Community/Retail Pharmacy
  • San Juan, PR
  • NPI 1821660432
  NPD tax ID

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1487956082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364109",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364109",
            "telephone_number": "787-523-2900",
            "fax_number": "787-957-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 PINERO AVE.",
            "address_2": "SUITE 200C",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-523-2900",
            "fax_number": "787-957-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN MANAGEMENT CORPORATION OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "YASSIN",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-523-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PR",
            "license": "17-F-2967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126977",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medplus - A Plus Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medplus - A Plus Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in San Juan, PR
• Providers in San Juan, PR by specialty
• Long Term Care Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.