Amisadai Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

18-F-3409 Issued in PR

Legal business name

AMISADAI PHARMACY LLC

Doing business as

Amisadai Pharmacy

Practice address

Avenida Garrido Morales
Esquina Calle San Rafael #12
Fajardo, PR 00738

Phone

(787) 657-8577

Fax

(787) 657-8584

NPI assigned

Dec 30, 2015

Last updated

Jan 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darylis Piris

Title

President

Phone

(787) 329-7708

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• AMISADAI PHARMACY Doing business as

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1972968303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 13216",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007459621",
            "telephone_number": "787-657-8577",
            "fax_number": "787-657-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA GARRIDO MORALES",
            "address_2": "ESQUINA CALLE SAN RAFAEL #12",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-657-8577",
            "fax_number": "787-657-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMISADAI PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "PIRIS",
        "authorized_official_first_name": "DARYLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-329-7708"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PR",
            "license": "18-F-3409",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163633",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMISADAI PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosa B Almestica, ADN
• Brayan N N Alvarado Lopez
• Jettie Danilsa Alvarez Suero, MD
• Jose R Alvarez-Ruiz, MD
• America Group Inc. (Pharmacy Express Fajardo)
• Juan David Andujar, MD
• Angerosa Tu Salud Inc
• Ellis Shamyr Aragones, PHARMACIST
• Gladys Maria Araujo, R PH
• Ard Cardiology PSC

• Pharmacy in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.