Active NPI
RM Supermarket San Patricio Inc
- Community/Retail Pharmacy
- San Juan, PR
National Provider Identifier
1801337605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 19-F-3473
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2175387 | Other | PK |
National Provider Directory
National Provider DirectoryLocations
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.