Organization Active NPI

Damar of Puerto Rico Services Inc

  • Community/Retail Pharmacy
  • San Juan, PR
National Provider Identifier
1699177261
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17-F-3158 Issued in PR
Legal business name
DAMAR OF PUERTO RICO SERVICES INC
Practice address
Esq. Barbosa #404
Calle Sicilia
San Juan, PR 00907
Phone
(787) 294-0076
NPI assigned
Sep 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Allan Cao, PHARMACIST
Title
District Manager
Phone
(786) 547-3240

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 17-F-3158 PR Primary

Addresses

Primary practice location

Esq. Barbosa #404
Calle Sicilia
San Juan, PR 00907

Mailing address

PO Box 25130
San Juan, PR 00928-5130
Phone (787) 294-0076

Other identifiers 1

IdentifierTypeStateIssuer
2148034OtherPK

Other names 1

  • Farmacia CDT Dr. Enrique Koppisch Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Damar of Puerto Rico Services Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1699177261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25130",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009285130",
            "telephone_number": "787-294-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ESQ. BARBOSA #404",
            "address_2": "CALLE SICILIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-294-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMAR OF PUERTO RICO SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "CAO",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "786-547-3240",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "17-F-3158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148034",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia CDT Dr. Enrique Koppisch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 21, 2015; 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.