NPIMap

Organization Active NPI

Corporacion de Servicios de Salud Y Medicina Avanzada Cossma

Doing business as Farmacia Cossma Cidra

  • Clinic Pharmacy
  • Cidra, PR
National Provider Identifier
1760530760
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
18F2618 Issued in PR
Legal business name
CORPORACION DE SERVICIOS DE SALUD Y MEDICINA AVANZADA COSSMA
Doing business as
Farmacia Cossma Cidra
Practice address
Ave El Jibaro Carr 172
KM 13 5
Cidra, PR 00739
Phone
(787) 739-8182
Fax
(787) 714-1444
NPI assigned
Jan 8, 2007
Last updated
Mar 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Isolina Miranda
Title
Executive Director
Phone
(787) 739-8182

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X 18F2618 PR Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

Ave El Jibaro Carr 172
KM 13 5
Cidra, PR 00739

Mailing address

PO Box 1330
Cidra, PR 00739-1330
Phone (787) 739-8182

Other identifiers 2

IdentifierTypeStateIssuer
2086075OtherPK
90769MedicaidPR

Other names 1

  • FARMACIA COSSMA CIDRA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmacia Cossma Yabucoa21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1760530760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391330",
            "telephone_number": "787-739-8182",
            "fax_number": "787-739-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE EL JIBARO CARR 172",
            "address_2": "KM 13 5",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-739-8182",
            "fax_number": "787-714-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORACION DE SERVICIOS DE SALUD Y MEDICINA AVANZADA COSSMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "ISOLINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-739-8182"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "PR",
            "license": "18F2618",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2086075",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90769",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA COSSMA CIDRA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.