Organization Active NPI

Monserrate Pharmacy

  • Community/Retail Pharmacy
  • Carolina, PR
National Provider Identifier
1528459435
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15-F-0753 Issued in PR
Legal business name
MONSERRATE PHARMACY
Doing business as
Monserrate Pharmacy
Practice address
Monserrate Ave., Esquina 209 St
DB#1 Valle Arriba Heights
Carolina, PR 00984
Phone
(787) 752-6110
NPI assigned
Feb 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Mr. Yusef Musa Yassin
Title
Owner
Phone
(787) 993-4741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 15-F-0753 PR Primary

Addresses

Primary practice location

Monserrate Ave., Esquina 209 St
DB#1 Valle Arriba Heights
Carolina, PR 00984

Mailing address

PO Box 8121
San Juan, PR 00910-0121
Phone (787) 725-6625

Other identifiers 1

IdentifierTypeStateIssuer
2150144OtherPK

Other names 1

  • Monserrate Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1528459435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8121",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100121",
            "telephone_number": "787-725-6625",
            "fax_number": "787-725-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MONSERRATE AVE., ESQUINA 209 ST",
            "address_2": "DB#1 VALLE ARRIBA HEIGHTS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00984",
            "telephone_number": "787-752-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONSERRATE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "YASSIN",
        "authorized_official_first_name": "YUSEF",
        "authorized_official_middle_name": "MUSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-993-4741",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "15-F-0753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150144",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monserrate Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.