Organization Active NPI

Fravamar Corp

Doing business as Farmacia Santa Ana 3

  • Community/Retail Pharmacy
  • Cidra, PR
National Provider Identifier
1548550783
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13F2915 Issued in PR
Legal business name
FRAVAMAR CORP
Doing business as
Farmacia Santa Ana 3
Practice address
Carretera #1 KM 49.5 Bo Beatriz
Cidra, PR 00739
Phone
(787) 263-2939
Fax
(787) 743-5706
NPI assigned
Apr 8, 2011
Last updated
Apr 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Jose EstradaNPI 1275273781
Title
President/Pharmacist
Phone
(787) 263-2939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 13F2915 PR Primary

Addresses

Primary practice location

Carretera #1 KM 49.5 Bo Beatriz
Cidra, PR 00739

Mailing address

PO Box 6838
Caguas, PR 00726-6838

Other identifiers 1

IdentifierTypeStateIssuer
4027733OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Farmacia Santa Ana 3 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1548550783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6838",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA #1 KM 49.5 BO BEATRIZ",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-263-2939",
            "fax_number": "787-743-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAVAMAR CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "787-263-2939"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "13F2915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4027733",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia Santa Ana 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 24, 2012; 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.