Farmacia Idelisse,Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

09-F-0225 Issued in PR

Legal business name

FARMACIA IDELISSE,INC.

Practice address

Carr. 167 KM 9.5
Barrio Dajaos
Bayamon, PR 00956

Phone

(787) 730-3508

Fax

(787) 730-7949

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Ana Loida Rodriguez, RPH

Title

President

Phone

(787) 730-3508

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ana Loida Rodriguez, RPH

  • Pharmacist
  • Bayamon, PR
  • NPI 1710109103
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1770614166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4316",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009581316",
            "telephone_number": "787-730-3508",
            "fax_number": "787-730-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 167 KM 9.5",
            "address_2": "BARRIO DAJAOS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-730-3508",
            "fax_number": "787-730-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA IDELISSE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ANA LOIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-730-3508",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "09-F-0225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farmacia CDT GMSP Inc
• Farmacia Cptet Bayamon
• Farmacia Giusti 1 Inc.
• Farmacia Graciela Inc.
• Farmacia Guerrero Inc
• Farmacia la Economia
• Farmacia Lomas Verdes
• Farmacia Los Filtros LLC
• Farmacia Monte Verde Inc.
• Farmacia San Antonio de Bayamon Inc.

• Community/Retail Pharmacy in Bayamon, PR
• Providers in Bayamon, 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 Sep 6, 2007; 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.