Organization Active NPI

Farmacia Novavida LLC

  • Community/Retail Pharmacy
  • Isabela, PR
National Provider Identifier
1588460133
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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)CodeLicenseStatePrimary
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 Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260420000593 PR Part B Supplier - Pharmacy 7517433394 Practice locations: Isabela, PR

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.