Provider Demographics
NPI:1629122486
Name:PHARMACARE, INC.
Entity Type:Organization
Organization Name:PHARMACARE, INC.
Other - Org Name:FARMACIA REY #4
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:REYNOSO CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-692-2449
Mailing Address - Street 1:P.O. BOX 260310
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2621
Mailing Address - Country:US
Mailing Address - Phone:787-692-2449
Mailing Address - Fax:787-287-7800
Practice Address - Street 1:CALLE ANDRES ARUZ RIVERA # 111
Practice Address - Street 2:
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778
Practice Address - Country:US
Practice Address - Phone:787-712-1780
Practice Address - Fax:787-712-1799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR19-F-21583336C0003X
PR20-F-35563336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2087248OtherPK
5283740001Medicare NSC