Organization Active NPI

Health Mart Pharmacy Plus

  • Community/Retail Pharmacy
  • San Juan, PR
National Provider Identifier
1689689226
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17F2240 Issued in PR
Legal business name
HEALTH MART PHARMACY PLUS
Practice address
84/86 Calle Georgetti
Rio Piedras
San Juan, PR 00925
Phone
(787) 751-6646
Fax
(787) 772-9221
NPI assigned
Jul 30, 2006
Last updated
Aug 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Authorized official

Name
Abdel Hamed Shada Sabri, PHR
Title
Owner
Phone
(787) 373-7224

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 17F2240 PR Primary

Addresses

Primary practice location

84/86 Calle Georgetti
Rio Piedras
San Juan, PR 00925

Mailing address

PO Box 9300461
San Juan, PR 00928
Phone (787) 751-6646

Other identifiers 2

IdentifierTypeStateIssuer
2084553OtherPK
040086300MedicaidPR

Other names 1

  • FIRST CHOICE PHARMACY Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211004001413 PR Part B Supplier - Pharmacy 6709098999 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

86 Calle Georgetti
San Juan, PR 00925
Phone (787) 751-6646

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1689689226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9300461",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00928",
            "telephone_number": "787-751-6646",
            "fax_number": "787-772-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84/86 CALLE GEORGETTI",
            "address_2": "RIO PIEDRAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-751-6646",
            "fax_number": "787-772-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH MART PHARMACY PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "SHADA SABRI",
        "authorized_official_first_name": "ABDEL",
        "authorized_official_middle_name": "HAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-373-7224",
        "authorized_official_credential": "PHR"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "17F2240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2084553",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040086300",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST CHOICE PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.