Organization Active NPI

RM Supermarket San Patricio Inc

  • Community/Retail Pharmacy
  • San Juan, PR
National Provider Identifier
1801337605
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
19-F-3473 Issued in PR
Legal business name
RM SUPERMARKET SAN PATRICIO INC
Practice address
Central Plaza Shopping Center Suite #1
San Juan, PR 00920
Phone
(787) 705-0938
Fax
(787) 705-8675
NPI assigned
Mar 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Authorized official

Name
Maria Diaz
Title
Chief Pharmacist
Phone
(787) 640-7362

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 19-F-3473 PR Primary

Addresses

Primary practice location

Central Plaza Shopping Center Suite #1
San Juan, PR 00920

Mailing address

Central Plaza Shopping Center Suite #1
1645 Jesus T.Pinero Ave.
San Juan, PR 00920
Phone (787) 705-0938

Other identifiers 1

IdentifierTypeStateIssuer
2175387OtherPK

National Provider Directory

National Provider Directory

Locations

1645 Ave Jesus T Pinero
Ste 1
San Juan, PR 00920

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1801337605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTRAL PLAZA SHOPPING CENTER SUITE #1",
            "address_2": "1645 JESUS T.PINERO AVE.",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00920",
            "telephone_number": "787-705-0938",
            "fax_number": "787-705-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRAL PLAZA SHOPPING CENTER SUITE #1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00920",
            "telephone_number": "787-705-0938",
            "fax_number": "787-705-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RM SUPERMARKET SAN PATRICIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "787-640-7362"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "19-F-3473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175387",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.