Shaddai Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

14-F-3019 Issued in PR

Legal business name

SHADDAI PHARMACY INC.

Practice address

28A Bloque BB1 Local 2
Villa Universitaria
Humacao, PR 00791

Phone

(787) 852-7676

Fax

(787) 850-7053

NPI assigned

May 3, 2012

Organization subpart

No

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

Authorized official

Name

Elizabeth Rivera Rios, PHARMACIST

Title

President

Phone

(787) 691-2518

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Rivera, PHARMACIST

  • Pharmacist
  • Humacao, PR
  • NPI 1922121441
  NPD

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1639437155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CALLE OPALO",
            "address_2": "MANSIONES DEL CARIBE",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007915200",
            "telephone_number": "787-852-7676",
            "fax_number": "787-850-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28A BLOQUE BB1 LOCAL 2",
            "address_2": "VILLA UNIVERSITARIA",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-7676",
            "fax_number": "787-850-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADDAI PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "RIVERA RIOS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-691-2518",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "14-F-3019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Debbie M Silva Mestre, LND ( DIETITIAN)
• Jennie Marie Silva, PHARM D
• Sistema Prehospitalario de Emergencias Medicas Siprem Inc

• Community/Retail Pharmacy in Humacao, PR
• Providers in Humacao, 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 May 3, 2012; 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.