Farmacia Santiago Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

12F2693 Issued in PR

Legal business name

FARMACIA SANTIAGO INC

Practice address

Carr 670 KM 1.8 Bo Cotto Norte Interior
Manati, PR 00674

Phone

(787) 884-1114

Fax

(787) 884-0125

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Manuel Santiago

Title

Exc Dir

Phone

(787) 884-1113

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FARMACIA SANTIAGO Doing business as

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1619019338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3446",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006743446",
            "telephone_number": "787-884-1114",
            "fax_number": "787-884-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 670 KM 1.8 BO COTTO NORTE INTERIOR",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-884-1114",
            "fax_number": "787-884-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA SANTIAGO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "EXC DIR",
        "authorized_official_telephone_number": "787-884-1113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "12F2693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4025587",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA SANTIAGO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ileana Feliciano Aguilar
• Amaury Fabian Feliciano Mora, MD

• Community/Retail Pharmacy in Manati, PR
• Providers in Manati, 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 Apr 7, 2014; 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.