Ivamik LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

19-F-3488 Issued in PR

Legal business name

IVAMIK LLC

Practice address

Carr 1 KM 56.5 Marginal
Bo Montellanos
Cayey, PR 00737

Phone

(787) 738-1444

NPI assigned

Apr 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Rivera, PHARMD

Title

President

Phone

(787) 738-1444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Farmacia Vazquez #2 Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

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

• Yazmin Ortiz del Valle

  • Pharmacist
  • Cayey, PR
  • NPI 1972265874
  NPD
• Ivan Rivera Serrano, PHARMACIST

  • Pharmacist
  • Cidra, PR
  • NPI 1194497347
  NPD

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1760916472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370627",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007370627",
            "telephone_number": "787-738-1444",
            "fax_number": "787-263-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 1 KM 56.5 MARGINAL",
            "address_2": "BO MONTELLANOS",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00737",
            "telephone_number": "787-738-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAMIK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-738-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "19-F-3488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037720400",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia Vazquez #2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Farmacia Vazquez #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Cayey, PR
• Providers in Cayey, PR by specialty
• Community/Retail Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.