Farmacia Medina 5 Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

18-F-3048 Issued in PR

Legal business name

FARMACIA MEDINA 5 INC

Doing business as

Farmacia Medina #5

Practice address

Bo Sabana Llana
486 Calle de Diego
San Juan, PR 00923-3141

Phone

(787) 763-0255

Fax

(787) 763-0360

NPI assigned

Jan 3, 2007

Last updated

Feb 28, 2017By 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

Joel Cordero, RPHNPI 1730434135

Title

President

Phone

(787) 763-0255

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Farmacia Medina #5 Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel A Cordero, RPH

  • Pharmacist
  • San Juan, PR
  • NPI 1730434135
  NPD (past) Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1639236946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BO SABANA LLANA",
            "address_2": "486 CALLE DE DIEGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233141",
            "telephone_number": "787-763-0255",
            "fax_number": "787-763-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO SABANA LLANA",
            "address_2": "486 CALLE DE DIEGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233141",
            "telephone_number": "787-763-0255",
            "fax_number": "787-763-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA MEDINA 5 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-763-0255",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "18-F-3048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136408",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia Medina #5",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in San Juan, PR
• Providers in San Juan, 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 Feb 28, 2017; 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.