Organization Active NPI

Highway Pharmacy Mall Inc

Doing business as Highway Pharmacy

  • Community/Retail Pharmacy
  • Santa Isabel, PR
National Provider Identifier
1942358858
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HIGHWAY PHARMACY MALL INC
Doing business as
Highway Pharmacy
Practice address
Plaza Oasis Carr 153 KM 6.2
Santa Isabel, PR 00757
Phone
(787) 845-6272
Fax
(787) 845-6272
NPI assigned
Jan 8, 2007
Last updated
Jul 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Dr. Jomarie Ortiz Rivera, PHARM.D.NPI 1043772130
Title
President/Chief Pharmacist
Phone
(787) 478-0215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 07F2001 PR
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

Plaza Oasis Carr 153 KM 6.2
Santa Isabel, PR 00757

Mailing address

PO Box 1902
Coamo, PR 00769-1902
Phone (787) 845-6272

Other identifiers 1

IdentifierTypeStateIssuer
039814600MedicaidPR

Other names 1

  • Highway Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1942358858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1902",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007691902",
            "telephone_number": "787-845-6272",
            "fax_number": "787-845-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA OASIS CARR 153 KM 6.2",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-845-6272",
            "fax_number": "787-845-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHWAY PHARMACY MALL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "ORTIZ RIVERA",
        "authorized_official_first_name": "JOMARIE",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF PHARMACIST",
        "authorized_official_telephone_number": "787-478-0215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PR",
            "license": "07F2001",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039814600",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Isabel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.