Active NPI
Prestamo Pharmacy
- Community/Retail Pharmacy
- Toa Baja, PR
National Provider Identifier
1902247349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4028595 | Other | PR | NCPCP |
National Provider Directory
National Provider DirectoryNPI 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.