NPIMap

Organization Active NPI

Nova Pharmacy Inc

  • Community/Retail Pharmacy
  • Santa Isabel, PR
National Provider Identifier
1598015109
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1722 Issued in PR
Legal business name
NOVA PHARMACY INC
Doing business as
Nova Pharmacy Inc
Practice address
Urb la Hacienda Calle 1 a-1 Bo Jauca
Santa Isabel, PR 00757
Phone
(787) 845-0505
Fax
(787) 845-0505
NPI assigned
Sep 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Gerardo Rivera
Title
Owner
Phone
(787) 375-0295

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1722 PR Primary

Addresses

Primary practice location

Urb la Hacienda Calle 1 a-1 Bo Jauca
Santa Isabel, PR 00757

Mailing address

PO Box 1050
Salinas, PR 00751-1050

Other identifiers 1

IdentifierTypeStateIssuer
4028230OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • NOVA PHARMACY INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nova Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1598015109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1050",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007511050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB LA HACIENDA CALLE 1 A-1 BO JAUCA",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-845-0505",
            "fax_number": "787-845-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-375-0295"
    },
    "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": "1722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4028230",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVA PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Isabel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.