NPIMap

Organization Active NPI

Farmacia San Martin Barceloneta Inc

  • Community/Retail Pharmacy
  • Barceloneta, PR
National Provider Identifier
1720160476
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07-F-0650 Issued in PR
Legal business name
FARMACIA SAN MARTIN BARCELONETA INC
Practice address
9 Calle Georgetti
Barceloneta, PR 00617-2712
Phone
(787) 846-3474
Fax
(787) 846-0219
NPI assigned
Oct 20, 2006
Last updated
Mar 7, 2023By the provider in NPPES
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. Felix Ali Maldonado, R.PHNPI 1891797577
Title
Pharmacist
Phone
(787) 846-3474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 07-F-0650 PR Primary

Addresses

Primary practice location

9 Calle Georgetti
Barceloneta, PR 00617-2712

Mailing address

9 Calle Georgetti
Barceloneta, PR 00617-2712
Phone (787) 846-3474

Other identifiers 2

IdentifierTypeStateIssuer
07-F-0650OtherPRSTATE LIC
DF-01412-6OtherPRSTATE DRUG LIC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210105000211 PR Part B Supplier - Pharmacy 1557774908 Practice locations: Barceloneta, PR

National Provider Directory

National Provider Directory

Locations

9 Calle Georgetti
Barceloneta, PR 00617
Phone (787) 846-3474

Practitioners & affiliated clinicians

Practitioners 11

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1720160476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CALLE GEORGETTI",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172712",
            "telephone_number": "787-846-3474",
            "fax_number": "787-846-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CALLE GEORGETTI",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172712",
            "telephone_number": "787-846-3474",
            "fax_number": "787-846-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA SAN MARTIN BARCELONETA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "787-846-3474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "07-F-0650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "07-F-0650",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DRUG LIC",
            "identifier": "DF-01412-6",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, 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.
  • 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.