Organization Active NPI

Prestamo Pharmacy

  • Community/Retail Pharmacy
  • Toa Baja, PR
National Provider Identifier
1902247349
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15-F-3142
Legal business name
PRESTAMO PHARMACY
Practice address
Carr. 867 KM 5.4
#204
Toa Baja, PR 00949
Phone
(787) 644-8663
NPI assigned
Jul 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Authorized official

Name
Josefina Prestamo
Title
Pharmacy
Phone
(787) 644-8663

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PR
Community/Retail Pharmacy 3336C0003X 15-F-3142 Primary

Addresses

Primary practice location

Carr. 867 KM 5.4
#204
Toa Baja, PR 00949

Mailing address

PO Box 682
Toa Baja, PR 00951-0682
Phone (787) 644-8663

Other identifiers 1

IdentifierTypeStateIssuer
4028595OtherPRNCPCP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1902247349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009510682",
            "telephone_number": "787-644-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 867 KM 5.4",
            "address_2": "#204",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-644-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTAMO PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "PRESTAMO",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_title_or_position": "PHARMACY",
        "authorized_official_telephone_number": "787-644-8663"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": "15-F-3142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPCP",
            "identifier": "4028595",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.