MEDICARE: PHARMACARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	19-F-3092	PR
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	20-F-3539	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2139909	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093847881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACARE, INC.

Provider Business Mailing Address
First Line	:	PO BOX 260310
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-2621
Country	:	US
Telephone Number	:	787-692-2449
Fax Number	:	787-287-7800

Provider Business Practice Location Address
First Line	:	CALLE ANTONIO R. BACELO #36
Second Line	:	ESQUINA PADILLA EL CARIBE BO. PUEBLO
City	:	CIDRA
State	:	PR
Zip	:	00739
Country	:	US
Telephone Number	:	787-739-7935
Fax Number	:	787-739-0626

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JUAN A REYNOSO CABRERA
Credential	:
Telephone Number	:	787-692-2449

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	03/05/2026

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Directions to “PHARMACARE, INC. ” Practice Location

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