NPIMap

Organization Active NPI

Mi Farmacia San Isidro

  • Pharmacy
  • Canovanas, PR
National Provider Identifier
1871872671
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5089 Issued in PR
Legal business name
MI FARMACIA SAN ISIDRO
Practice address
2 Calle Guayacan
Canovanas, PR 00729-9815
Phone
(787) 256-0069
Fax
(787) 256-0069
NPI assigned
Aug 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Mrs. Maritza Jimenez, LCDA
Title
Pharmaceutical
Phone
(787) 256-0069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5089 PR Primary

Addresses

Primary practice location

2 Calle Guayacan
Canovanas, PR 00729-9815

Mailing address

2 Calle Guayacan
Canovanas, PR 00729-9815
Phone (787) 256-0069

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1871872671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CALLE GUAYACAN",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299815",
            "telephone_number": "787-256-0069",
            "fax_number": "787-256-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE GUAYACAN",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299815",
            "telephone_number": "787-256-0069",
            "fax_number": "787-256-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI FARMACIA SAN ISIDRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "PHARMACEUTICAL",
        "authorized_official_telephone_number": "787-256-0069",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCDA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PR",
            "license": "5089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.