Active NPI
RX Depot
- Pharmacy
- Guaynabo, PR
National Provider Identifier
1629295407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 07-F-2264
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5383530001 | Medicaid | PR |
Other names 1
- La Botica
National Provider Directory
National Provider Directory- Tax ID family
- La Botica
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Guaynabo, PR
- NPI 1477529659
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.