Provider Demographics
NPI:1083782270
Name:HAMID, CORP.
Entity Type:Organization
Organization Name:HAMID, CORP.
Other - Org Name:FIRST PHARMACY-1
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDANT
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:SABRI
Authorized Official - Last Name:HAMID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-763-9536
Mailing Address - Street 1:PO BOX 25247
Mailing Address - Street 2:SAN JUAN
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-5247
Mailing Address - Country:US
Mailing Address - Phone:787-763-9536
Mailing Address - Fax:
Practice Address - Street 1:870 CALLE LAS MARIAS
Practice Address - Street 2:HYDE PARK
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-4209
Practice Address - Country:US
Practice Address - Phone:787-763-9545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07-F1040332B00000X
PR07-01934-9333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4018645OtherNPPC
PR4224110001Medicare NSC