Organization Active NPI

Farmacia Quesada Inc.

  • Pharmacist
  • Guanica, PR
National Provider Identifier
1518028232
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
07-F-1071 Issued in PR
Legal business name
FARMACIA QUESADA INC.
Practice address
75 Calle 25 de Julio
Guanica, PR 00653-2804
Phone
(787) 821-3065
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Mrs. Merinelda Quesada
Title
President
Phone
(787) 821-3065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 07-F-1071 PR Primary

Addresses

Primary practice location

75 Calle 25 de Julio
Guanica, PR 00653-2804

Mailing address

PO Box 488
Guanica, PR 00653-0488
Phone (787) 821-3065

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210614003328 PR Part B Supplier - Pharmacy 1658553227 Practice locations: Guanica, PR

National Provider Directory

National Provider Directory

Locations

75 Calle 25 de Julio
Guanica, PR 00653
Phone (787) 821-3065

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1518028232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "GUANICA",
            "state": "PR",
            "postal_code": "006530488",
            "telephone_number": "787-821-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CALLE 25 DE JULIO",
            "city": "GUANICA",
            "state": "PR",
            "postal_code": "006532804",
            "telephone_number": "787-821-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA QUESADA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "QUESADA",
        "authorized_official_first_name": "MERINELDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-821-3065",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "07-F-1071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guanica, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.