Active NPI
Farmacia Melmar Inc.
- Pharmacy
- Isabela, PR
National Provider Identifier
1689253221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- FARMACIA MELMAR INC.
- Practice address
- Solar 6 Bo. Galateo Bajo
Carr. 466
Isabela, PR 00662 - Phone
- (787) 830-3335
- Fax
- (787) 830-3335
- NPI assigned
- Apr 2, 2021
- 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
- Ms. Marilyn Medina Jimenez, TECH.
- Title
- Technician
- Phone
- (787) 508-0494
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
Solar 6 Bo. Galateo Bajo
Carr. 466
Isabela, PR 00662
Mailing address
31 Calle Las Vegas
Isabela, PR 00662-4240
Phone (787) 508-0494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039077100 | Medicaid | PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210727003587 | PR | Part B Supplier - Pharmacy | 1153724257 | Practice locations: Isabela, PR |
National Provider Directory
National Provider DirectoryLocations
587 Carr 446
Isabela, PR 00662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624492800000",
"number": "1689253221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 CALLE LAS VEGAS",
"city": "ISABELA",
"state": "PR",
"postal_code": "006624240",
"telephone_number": "787-508-0494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOLAR 6 BO. GALATEO BAJO",
"address_2": "CARR. 466",
"city": "ISABELA",
"state": "PR",
"postal_code": "00662",
"telephone_number": "787-830-3335",
"fax_number": "787-830-3335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARMACIA MELMAR INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-02",
"last_updated": "2021-06-24",
"certification_date": "2021-06-11",
"status": "A",
"authorized_official_last_name": "MEDINA JIMENEZ",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "TECHNICIAN",
"authorized_official_telephone_number": "787-508-0494",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "TECH."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039077100",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.