Active NPI
Wilmet I Millan Camacho
- Community/Retail Pharmacy
- Humacao, PR
National Provider Identifier
1629395090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 12F2837
- Legal business name
- WILMET I MILLAN CAMACHO
- Doing business as
- Farmacia Rosalina
- Practice address
- 344 Calle Font Martelo
Humacao, PR 00791-3228 - Phone
- (787) 850-2040
- Fax
- (787) 850-2232
- NPI assigned
- Apr 26, 2010
- 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
- Wilmet Millan
- Title
- Owner
- Phone
- (787) 397-2161
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 12F2837 | PR | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
344 Calle Font Martelo
Humacao, PR 00791-3228
Mailing address
PO Bo Box 8364
Humacao, PR 00792-8364
Phone (787) 850-2040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4027339 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Farmacia Rosalina
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190903002522 | PR | Part B Supplier - Mass Immunization (Roster Biller Only) | 8820327703 | Practice locations: Humacao, PR |
National Provider Directory
National Provider DirectoryLocations
344 Calle Font Martelo
Humacao, PR 00791
Phone (787) 850-2040
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacy Technician
- Humacao, PR
- NPI 1699292128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567036800000",
"number": "1629395090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BO BOX 8364",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007928364",
"telephone_number": "787-850-2040",
"fax_number": "787-850-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 CALLE FONT MARTELO",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007913228",
"telephone_number": "787-850-2040",
"fax_number": "787-850-2232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILMET I MILLAN CAMACHO",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-26",
"last_updated": "2019-08-29",
"status": "A",
"authorized_official_last_name": "MILLAN",
"authorized_official_first_name": "WILMET",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-397-2161"
},
"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": "12F2837",
"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": "4027339",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Farmacia Rosalina",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Farmacia Rosalina",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.