NPIMap

Organization Active NPI

Farmacia Dejireh Corp

  • Community/Retail Pharmacy
  • Humacao, PR
National Provider Identifier
1851575112
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15F2572 Issued in PR
Legal business name
FARMACIA DEJIREH CORP
Doing business as
Farmacia Dejireh Corp
Practice address
Carretera 3 Urb Buzo
443
Humacao, PR 00791
Phone
(787) 852-2828
Fax
(787) 852-4622
NPI assigned
Dec 21, 2007
Last updated
Nov 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Jacqueline Serrano, RPHNPI 1730285586
Title
President
Phone
(787) 559-1137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 15F2572 PR Primary

Addresses

Primary practice location

Carretera 3 Urb Buzo
443
Humacao, PR 00791

Mailing address

PO Box 548
Humacao, PR 00792-0548
Phone (787) 852-2828

Other identifiers 1

IdentifierTypeStateIssuer
2087590OtherPK

Other names 1

  • FARMACIA DEJIREH CORP Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1851575112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007920548",
            "telephone_number": "787-852-2828",
            "fax_number": "787-852-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 3 URB BUZO",
            "address_2": "443",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-2828",
            "fax_number": "787-852-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA DEJIREH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-559-1137",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "15F2572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087590",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA DEJIREH CORP",
            "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 Nov 19, 2014; 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.