Ed S Pharmacy Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

12-F-2870 Issued in PR

Legal business name

ED S PHARMACY CORPORATION

Doing business as

Ed's Pharmacy

Practice address

Rd 307
KM 4.8
Boqueron, PR 00622

Phone

(787) 255-0485

Fax

(787) 255-0486

NPI assigned

Aug 3, 2010

Last updated

Jun 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edgardo Carmona

Title

Pharmacy Manager

Phone

(787) 381-5471

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Ed's Pharmacy Doing business as

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1619281599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1790",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "006221790",
            "telephone_number": "787-255-0485",
            "fax_number": "787-255-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RD 307",
            "address_2": "KM 4.8",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "00622",
            "telephone_number": "787-255-0485",
            "fax_number": "787-255-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ED S PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "CARMONA",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "787-381-5471"
    },
    "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": "12-F-2870",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4027492",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ed's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Boqueron, PR
• Providers in Boqueron, 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 Jun 20, 2011; 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.