Active NPI
Farmacia Mir Mar
- Community/Retail Pharmacy
- Guayama, PR
National Provider Identifier
1699888339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 07F1050
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07F1050 | Other | PR | STATE LICENCE |
| DM 015453 | Other | PR | STATE LICENCE ASSMCA |
National Provider Directory
National Provider DirectoryLocations
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.