Organization Active NPI

Farmacia Mir Mar

  • Community/Retail Pharmacy
  • Guayama, PR
National Provider Identifier
1699888339
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07F1050 Issued in PR
Legal business name
FARMACIA MIR MAR
Practice address
44 Calle Calimano N
Box 2248
Guayama, PR 00784-2248
Phone
(787) 864-1962
Fax
(787) 866-2278
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Ariel Miranda
Title
Owner
Phone
(787) 864-1964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 07F1050 PR Primary

Addresses

Primary practice location

44 Calle Calimano N
Box 2248
Guayama, PR 00784-2248

Mailing address

Cecicilia Domin Guez Street # 1 East
P O Box 2248
Guayama, PR 00784-2248
Phone (787) 864-1964

Other identifiers 2

IdentifierTypeStateIssuer
07F1050OtherPRSTATE LICENCE
DM 015453OtherPRSTATE LICENCE ASSMCA

National Provider Directory

National Provider Directory

Locations

44 Calle Calimano N
#2248
Guayama, PR 00784
Phone (787) 864-1962

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1699888339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CECICILIA DOMIN GUEZ STREET # 1 EAST",
            "address_2": "P O BOX 2248",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007842248",
            "telephone_number": "787-864-1964",
            "fax_number": "787-866-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CALLE CALIMANO N",
            "address_2": "BOX 2248",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007842248",
            "telephone_number": "787-864-1962",
            "fax_number": "787-866-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA MIR MAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-864-1964",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "07F1050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "07F1050",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE  ASSMCA",
            "identifier": "DM 015453",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.