Pharmaextra Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

18F2690 Issued in PR

Legal business name

PHARMAEXTRA INC

Practice address

Munoz Rivera 56 South
Cayey, PR 00736

Phone

(787) 738-5343

Fax

(787) 263-2883

NPI assigned

Aug 10, 2006

Last updated

Jan 30, 2018By 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

Elliot Pacheco Beauchamp, MBA

Title

Ceo

Phone

(787) 738-5343

Specialties & licenses 5

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1982615522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372830",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007372830",
            "telephone_number": "787-738-5343",
            "fax_number": "787-263-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MUNOZ RIVERA 56 SOUTH",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-738-5343",
            "fax_number": "787-263-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMAEXTRA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "PACHECO BEAUCHAMP",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-738-5343",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "18F2690",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2086486",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felix N. Perez Torres, OD
• Floren E Perez, MD
• Israel Perez
• Silverio Perez
• Pharmacare, Inc. (Farmacia Rey #21)
• Physiatry Center, P. S. C.
• Lillian Rocio Pintado, MS-A
• PMC Marketing Corp (Farmacia El Amal # 15)
• Harold Pola Rodriguez, M.D.
• Eugenio A Portela Asenio, MD

• Community/Retail Pharmacy in Cayey, PR
• Providers in Cayey, 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 Jan 30, 2018; 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.