NPIMap

Organization Active NPI

Centro Ararat Inc

Doing business as CA Pharmacy

  • Community/Retail Pharmacy
  • San Juan, PR
National Provider Identifier
1962946426
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18F3415 Issued in PR
Legal business name
CENTRO ARARAT INC
Doing business as
CA Pharmacy
Practice address
1507 Calle Prof Augusto Rodrigue
San Juan, PR 00909-2214
Phone
(787) 705-3900
Fax
(787) 727-2140
NPI assigned
Dec 18, 2016
Last updated
Feb 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Ivan Melendez
Title
Pharmacy Director
Phone
(787) 284-4488

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 18F3415 PR Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1507 Calle Prof Augusto Rodrigue
San Juan, PR 00909-2214

Mailing address

PO Box 8730
San Juan, PR 00910-0730
Phone (787) 705-3900

Other names 1

  • CA Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241231001734 PR Part B Supplier - Pharmacy 3375795297 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ponce, PR; San Juan, PR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
40D21343691507 Centro Ararat1507 Calle Prof Augusto Rodriguez, San Juan, PR 00909Certificate of waiverJul 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Centro Ararat Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1503 Calle Asia
Ste 301
San Juan, PR 00909
Phone (787) 296-8888

1503 Calle Prof Augusto Rodriguez
Ste 600
San Juan, PR 00909
Phone (787) 296-8888

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1962946426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8730",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100730",
            "telephone_number": "787-705-3900",
            "fax_number": "787-727-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 CALLE PROF AUGUSTO RODRIGUE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092214",
            "telephone_number": "787-705-3900",
            "fax_number": "787-727-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO ARARAT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-18",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "787-284-4488"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "18F3415",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CA Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.