Active NPI
Farmacia Novavida LLC
- Community/Retail Pharmacy
- Isabela, PR
National Provider Identifier
1588460133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FARMACIA NOVAVIDA LLC
- Practice address
- Ed Plaza del Mar 8494
Ave Jobos
Isabela, PR 00662 - Phone
- (787) 207-1766
- NPI assigned
- Feb 24, 2025
- Last updated
- Feb 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Myleisha Barreto Quinones, TECNICO DE FARMACIA
- Title
- Tecnico de Farmacia
- Phone
- (787) 207-1766
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
Ed Plaza del Mar 8494
Ave Jobos
Isabela, PR 00662
Mailing address
610 Calle Fragata
Isabela, PR 00662-2132
Phone (787) 207-1766
Other names 1
- FARMACIA NOVAVIDAN LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260420000593 | PR | Part B Supplier - Pharmacy | 7517433394 | Practice locations: Isabela, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1588460133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 CALLE FRAGATA",
"city": "ISABELA",
"state": "PR",
"postal_code": "006622132",
"telephone_number": "787-207-1766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ED PLAZA DEL MAR 8494",
"address_2": "AVE JOBOS",
"city": "ISABELA",
"state": "PR",
"postal_code": "00662",
"telephone_number": "787-207-1766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARMACIA NOVAVIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-24",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A",
"authorized_official_last_name": "BARRETO QUINONES",
"authorized_official_first_name": "MYLEISHA",
"authorized_official_title_or_position": "TECNICO DE FARMACIA",
"authorized_official_telephone_number": "787-207-1766",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "TECNICO DE FARMACIA"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FARMACIA NOVAVIDAN LLC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "FARMACIA NOVAVIDAN LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.