Organization Active NPI

Farmacia Alicia

  • Pharmacist
  • San Juan, PR
National Provider Identifier
1619194321
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3161 Issued in PR
Legal business name
FARMACIA ALICIA
Practice address
2203 Ave Borinquen
Barrio Obrero
San Juan, PR 00915-4416
Phone
(787) 726-0939
Fax
(787) 726-0939
NPI assigned
Apr 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Ana C Malave, PHARMACIST
Title
Owner
Phone
(787) 726-0939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3161 PR Primary

Addresses

Primary practice location

2203 Ave Borinquen
Barrio Obrero
San Juan, PR 00915-4416

Mailing address

2203 Ave Borinquen
Barrio Obrero
San Juan, PR 00915-4416
Phone (787) 726-0939

Other identifiers 1

IdentifierTypeStateIssuer
07F1358OtherPRHEALTH DEPT.

National Provider Directory

National Provider Directory

Locations

2203 Ave Borinquen
San Juan, PR 00915
Phone (787) 726-0939

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619194321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 AVE BORINQUEN",
            "address_2": "BARRIO OBRERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009154416",
            "telephone_number": "787-726-0939",
            "fax_number": "787-726-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 AVE BORINQUEN",
            "address_2": "BARRIO OBRERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009154416",
            "telephone_number": "787-726-0939",
            "fax_number": "787-726-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA ALICIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALAVE",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-726-0939",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH DEPT.",
            "identifier": "07F1358",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.