1942743208 NPI number — CARIBE PHARMACY MANEGMENT LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942743208 NPI number — CARIBE PHARMACY MANEGMENT LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARIBE PHARMACY MANEGMENT LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942743208
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/30/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 4218
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAYAMON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00958-1218
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-787-7733
Provider Business Mailing Address Fax Number:
787-936-7439

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AVE 111 KM 18.7
Provider Second Line Business Practice Location Address:
BO. BAHOMAMEY
Provider Business Practice Location Address City Name:
SAN SEBASTIAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00685
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-896-4141
Provider Business Practice Location Address Fax Number:
787-849-3688
Provider Enumeration Date:
11/18/2016

Additional Information

Authorized Official

Authorized Official Last Name:
VARGAS
Authorized Official First Name:
JORGE
Authorized Official Middle Name:
Authorized Official Title or Position:
VP PHARMACY OPERATIONS
Authorized Official Telephone Number:
787-638-0638

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 039583200 , issued by the state of ( PR ) . This identifiers is of the category "MEDICAID".
  • Identifier: F2653496 . This is a "SALUD" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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