Organization Active NPI

Farmacia San Jose LLC

Doing business as Farmacia San Jose

  • Community/Retail Pharmacy
  • Lares, PR
National Provider Identifier
1699763326
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FARMACIA SAN JOSE LLC
Doing business as
Farmacia San Jose
Practice address
3 Calle San Jose
Lares, PR 00669-2432
Phone
(787) 897-1500
Fax
(787) 897-2655
NPI assigned
Oct 6, 2005
Last updated
Aug 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Mr. Francisco L Jimenez
Title
President
Phone
(787) 454-6473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

3 Calle San Jose
Lares, PR 00669-2432

Mailing address

3 Calle San Jose
Lares, PR 00669-2432
Phone (787) 897-1500

Other identifiers 1

IdentifierTypeStateIssuer
039390100MedicaidPR

Other names 1

  • FARMACIA SAN JOSE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210323000753 PR Part B Supplier - Mass Immunization (Roster Biller Only) 3779603824 Practice locations: Lares, PR

National Provider Directory

National Provider Directory

Locations

3 Calle San Jose
Lares, PR 00669
Phone (787) 382-1383

Practitioners & affiliated clinicians

Practitioners 2

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": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1699763326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CALLE SAN JOSE",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006692432",
            "telephone_number": "787-897-1500",
            "fax_number": "787-897-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CALLE SAN JOSE",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006692432",
            "telephone_number": "787-897-1500",
            "fax_number": "787-897-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA SAN JOSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-454-6473",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039390100",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA SAN JOSE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FARMACIA SAN JOSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lares, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.