NPIMap

Organization Active NPI

Mangual & Menchaca, Inc.

  • Pharmacy
  • Humacao, PR
National Provider Identifier
1821080581
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
07-F-1209 Issued in PR
Legal business name
MANGUAL & MENCHACA, INC.
Practice address
Noya & Hernandez # 2
Humacao, PR 00791
Phone
(787) 852-4180
Fax
(787) 285-4055
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Mrs. Marisel Menchaca
Title
President
Phone
(787) 852-4180

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X
Pharmacy 333600000X 07-F-1209 PR Primary

Addresses

Primary practice location

Noya & Hernandez # 2
Humacao, PR 00791

Mailing address

PO Box 8567
Humacao, PR 00792-8567
Phone (787) 852-4180

Other identifiers 1

IdentifierTypeStateIssuer
4011970OtherPRNABP

Other names 1

  • FARMACIA MARISEL # 1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmacia Marisel3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2 Calle Noya Hernandez W
Humacao, PR 00791
Phone (787) 852-4180

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1821080581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8567",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007928567",
            "telephone_number": "787-852-4180",
            "fax_number": "787-285-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NOYA & HERNANDEZ # 2",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-4180",
            "fax_number": "787-285-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGUAL & MENCHACA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "MENCHACA",
        "authorized_official_first_name": "MARISEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-852-4180",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PR",
            "license": "07-F-1209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4011970",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA MARISEL # 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.