Midway Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

07F2067 Issued in PR

Legal business name

MIDWAY PHARMACY

Practice address

Bo Maginas 225 C Marginal
Sabana Grande, PR 00637

Phone

(787) 873-1480

Fax

(787) 804-1480

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Lilliam Dominguez, RPH

Title

Pharmacist

Phone

(787) 873-1480

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1942210059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BO MAGINA 22S C/MARGINA/STE 2",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO MAGINAS 225 C MARGINAL",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "787-873-1480",
            "fax_number": "787-804-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "LILLIAM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "787-873-1480",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "07F2067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4023937",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalil Maloff Saied, M.D.
• Radames A. Marin Vieira, MD
• Mario Santaella Medicina Interna CSP
• Luz Enid Martinez-Martinez, M.D.
• Midway Pharmacy
• Migrant Health Center Western Region, Inc.
• Migrant Health Center Western Region, Inc.
• Michelle Milan Negron, M.S.W
• Francheska Miranda, MSW
• Modern Radiology PSC

• Community/Retail Pharmacy in Sabana Grande, PR
• Providers in Sabana Grande, 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 Feb 26, 2008; 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.