Super Farmacia Nelia

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SUPER FARMACIA NELIA

Practice address

16 Calle Francisco M Quinonez
Sabana Grande, PR 00637-1945

Phone

(787) 873-0198

Fax

(787) 873-3166

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Waldemar J NievesNPI 1487055935

Title

Pharmacist

Phone

(787) 804-0131

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Waldemar Nieves

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Sabana Grande, PR
  • NPI 1487055935
  NPD Authorized official
• Ibis L Longo

  • Pharmacist
  • Sabana Grande, PR
  • NPI 1831115773
  NPD (past)
• Sharon Velez, LCDA.

  • Pharmacist
  • Sabana Grande, PR
  • NPI 1407877863
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1063430429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CALLE FRANCISCO M QUINONEZ",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006371945",
            "telephone_number": "787-873-0198",
            "fax_number": "787-873-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CALLE FRANCISCO M QUINONEZ",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006371945",
            "telephone_number": "787-873-0198",
            "fax_number": "787-873-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER FARMACIA NELIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "WALDEMAR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "787-804-0131",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4015675",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Silva Cherena, M.D.
• Priscilla Milagros Soto Justiniano, MD
• Dolores M Soto, AA
• Southwest Health Corp Hospital Metropolitano San German
• Star Life Ambulances, Inc.
• Terapia Fisica la Monserrate
• Terapias la Monserrate,Inc
• The Play Lab LLC
• Felipe Tirado-Davila, M.D,
• Rafael E Toro-Landron, OD

• Community/Retail Pharmacy in Sabana Grande, PR
• Providers in Sabana Grande, PR by specialty
• Community/Retail Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.