Farmacia Diaz Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

13F2108 Issued in PR

Legal business name

FARMACIA DIAZ CORP

Doing business as

Farmacia Diaz

Practice address

Carretera 152 KM 2.8
Barrio Quebradillas
Barranquitas, PR 00794

Phone

(787) 857-7954

Fax

(787) 857-5249

NPI assigned

Dec 28, 2006

Reactivated

Aug 8, 2007

Organization subpart

No

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

Authorized official

Name

Javier Mirada

Title

Pharmacist

Phone

(787) 857-7954

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FARMACIA DIAZ Doing business as

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1588720585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007940959",
            "telephone_number": "787-857-7954",
            "fax_number": "787-857-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 152 KM 2.8",
            "address_2": "BARRIO QUEBRADILLAS",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "00794",
            "telephone_number": "787-857-7954",
            "fax_number": "787-857-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA DIAZ CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-08-03",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "MIRADA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "787-857-7954"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "13F2108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4024167",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5234100001",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA DIAZ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Barranquitas, PR
• Providers in Barranquitas, PR by specialty
• Community/Retail Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.