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NPI Code Detail

MEDICARE: CARIBE PHARMACY MANAGEMENT LLC

MEDICARE: CARIBE PHARMACY MANAGEMENT LLC
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24027935OTHERNCPDP
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972882785
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARIBE PHARMACY MANAGEMENT LLC
Provider Business Mailing Address
First Line : PO BOX 4218
Second Line :
City : BAYAMON
State : PR
Zip : 00958-1218
Country : US
Telephone Number : 787-787-7733
Fax Number : 787-936-7439
Provider Business Practice Location Address
First Line : 2550 AVE DE DIEGO
Second Line :
City : CAROLINA
State : PR
Zip : 00987-4800
Country : US
Telephone Number : 787-762-8412
Fax Number :
Authorized Official
Title or Position : VP PHARMACY OPERATIONS
Name : JORGE VARGAS
Credential :
Telephone Number : 787-638-0638
Provider Enumeration Date : 08/10/2011
Last Update Date : 12/08/2025

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Directions to “CARIBE PHARMACY MANAGEMENT LLC ” Practice Location

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