Reto Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11F1290 Issued in PR

Legal business name

RETO PHARMACY INC

Doing business as

Super Farmacia Villa Prades

Practice address

665 Calle Aristides Chavier # G8
Ctro Comerical Villa Prades
San Juan, PR 00924-2173

Phone

(787) 767-2097

Fax

(787) 764-9428

NPI assigned

Jul 31, 2006

Last updated

Apr 28, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexis Torrado

Title

Owner

Phone

(787) 767-2097

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SUPER FARMACIA VILLA PRADES Doing business as

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1093720484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 CALLE ARISTIDES CHAVIER # G8",
            "address_2": "CTRO COMERICAL VILLA PRADES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009242173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CALLE ARISTIDES CHAVIER # G8",
            "address_2": "CTRO COMERICAL VILLA PRADES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009242173",
            "telephone_number": "787-767-2097",
            "fax_number": "787-764-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "TORRADO",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-767-2097"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "11F1290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4021818",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER FARMACIA VILLA PRADES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in San Juan, PR
• Providers in San Juan, 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 Apr 28, 2009; 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.