Organization Active NPI

Farmacia San Rafael,Inc

  • Community/Retail Pharmacy
  • Quebradillas, PR
National Provider Identifier
1740329903
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07-F-2304 Issued in PR
Legal business name
FARMACIA SAN RAFAEL,INC
Practice address
165 Calle San Justo
Quebradillas, PR 00678-1739
Phone
(787) 895-2121
Fax
(787) 895-6944
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joel O Piquet, R.PH.NPI 1215027453
Title
Pharmacy Manager
Phone
(787) 895-2121

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-2304 PR Primary

Addresses

Primary practice location

165 Calle San Justo
Quebradillas, PR 00678-1739

Mailing address

PO Box 1546
Quebradillas, PR 00678-1546
Phone (787) 895-2121

Other identifiers 2

IdentifierTypeStateIssuer
07-F-2304OtherPRPHARMACY LICENSE
4005167OtherPRNCPDP

National Provider Directory

National Provider Directory

Locations

165 Calle San Justo
Quebradillas, PR 00678
Phone (787) 895-2121

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740329903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1546",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781546",
            "telephone_number": "787-895-2121",
            "fax_number": "787-895-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CALLE SAN JUSTO",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781739",
            "telephone_number": "787-895-2121",
            "fax_number": "787-895-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA SAN RAFAEL,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIQUET",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "787-895-2121",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "07-F-2304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "07-F-2304",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4005167",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quebradillas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.