Organization Active NPI

RX Depot

  • Pharmacy
  • Guaynabo, PR
National Provider Identifier
1629295407
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
07-F-2264 Issued in PR
Legal business name
RX DEPOT
Practice address
Calle Carazo 27
Guaynabo, PR 00970
Phone
(787) 703-2375
NPI assigned
Apr 20, 2007
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
Mr. Nimary Rodriguez
Title
General Manager
Phone
(787) 708-2375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 07-F-2264 PR Primary

Addresses

Primary practice location

Calle Carazo 27
Guaynabo, PR 00970

Mailing address

Sierra Morena 271
La Cumbre MSC 402
San Juan, PR 00926

Other identifiers 1

IdentifierTypeStateIssuer
5383530001MedicaidPR

Other names 1

  • La Botica Doing business as

National Provider Directory

National Provider Directory
Tax ID family
La Botica2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629295407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SIERRA MORENA 271",
            "address_2": "LA CUMBRE MSC 402",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CARAZO 27",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00970",
            "telephone_number": "787-703-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX DEPOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "NIMARY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "787-708-2375",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PR",
            "license": "07-F-2264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5383530001",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Botica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guaynabo, 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.