Organization Active NPI

Sailee Avende Lopez

Doing business as Super Farmacia Lopez

  • Community/Retail Pharmacy
  • Arecibo, PR
National Provider Identifier
1013096999
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18-F-2418 Issued in PR
Legal business name
SAILEE AVENDE LOPEZ
Doing business as
Super Farmacia Lopez
Practice address
Bo Jarealitos #62 Calle 1
Arecibo, PR 00612
Phone
(787) 879-5058
Fax
(787) 879-5058
NPI assigned
Nov 3, 2006
Last updated
Sep 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sailee Ayende, RPHNPI 1912059874
Title
Owner
Phone
(787) 879-5058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 18-F-2418 PR Primary

Addresses

Primary practice location

Bo Jarealitos #62 Calle 1
Arecibo, PR 00612

Mailing address

PO Box 6000
Arecibo, PR 00613-6010
Phone (787) 879-5058

Other identifiers 1

IdentifierTypeStateIssuer
2085058OtherPK

Other names 1

  • SUPER FARMACIA LOPEZ Doing business as

National Provider Directory

National Provider Directory

Locations

62 Calle 1
Arecibo, PR 00612
Phone (787) 815-5031

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1013096999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6000",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006136010",
            "telephone_number": "787-879-5058",
            "fax_number": "787-879-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO JAREALITOS #62 CALLE 1",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-879-5058",
            "fax_number": "787-879-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAILEE AVENDE LOPEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "AYENDE",
        "authorized_official_first_name": "SAILEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-879-5058",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "18-F-2418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2085058",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER FARMACIA LOPEZ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.