Mayaguez Center Drugstore Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10F2683 Issued in PR

Legal business name

MAYAGUEZ CENTER DRUGSTORE INC

Doing business as

Mayaguez Center Drug Store

Practice address

7 Mendez Vigo W
Ste 4
Mayaguez, PR 00680-6668

Phone

(787) 833-0277

Fax

(787) 834-5925

NPI assigned

Dec 5, 2008

Last updated

Oct 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tomas Molina

Title

Manager

Phone

(787) 629-7709

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mayaguez Center Drug Store Doing business as

Locations

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1851536833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MENDEZ VIGO W",
            "address_2": "STE 4",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006806668",
            "telephone_number": "787-833-0277",
            "fax_number": "787-834-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MENDEZ VIGO W",
            "address_2": "STE 4",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006806668",
            "telephone_number": "787-833-0277",
            "fax_number": "787-834-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYAGUEZ CENTER DRUGSTORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "TOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-629-7709"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "10F2683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4026589",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayaguez Center Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mayaguez Health Clinic PHG
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• Community/Retail Pharmacy in Mayaguez, PR
• Providers in Mayaguez, 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 Oct 22, 2010; 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.