Organization Active NPI

Farmacia San Jose

  • Pharmacy
  • Cidra, PR
National Provider Identifier
1538381090
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
002796 Issued in PR
Legal business name
FARMACIA SAN JOSE
Practice address
39 Calle Munoz Barrios
Apartado 957
Cidra, PR 00739-3206
Phone
(787) 739-2641
Fax
(787) 739-2641
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Mr. Samuel Garcia Diaz, PHARMACIST
Title
Owner
Phone
(787) 739-2641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 002796 PR Primary

Addresses

Primary practice location

39 Calle Munoz Barrios
Apartado 957
Cidra, PR 00739-3206

Mailing address

Farmacia San Jose
Apartado 957
Cidra, PUERTO RICO 00739
UM
Phone (787) 739-2641

National Provider Directory

National Provider Directory

Locations

39 Calle Vicente Munoz Barrios
#957
Cidra, PR 00739
Phone (787) 739-2641

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1538381090",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "FARMACIA SAN JOSE",
            "address_2": "APARTADO 957",
            "city": "CIDRA",
            "state": "PUERTO RICO",
            "postal_code": "00739",
            "telephone_number": "787-739-2641",
            "fax_number": "787-739-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CALLE MUNOZ BARRIOS",
            "address_2": "APARTADO 957",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393206",
            "telephone_number": "787-739-2641",
            "fax_number": "787-739-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA SAN JOSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "GARCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-739-2641",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PR",
            "license": "002796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.