Organization Active NPI

Farmacia Melmar Inc.

  • Pharmacy
  • Isabela, PR
National Provider Identifier
1689253221
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on Jun 24, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
039077100MedicaidPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210727003587 PR Part B Supplier - Pharmacy 1153724257 Practice locations: Isabela, PR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.