Organization Active NPI

Farmacia de Comunidad LLC

  • Community/Retail Pharmacy
  • Toa Alta, PR
National Provider Identifier
1104512375
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FARMACIA DE COMUNIDAD LLC
Practice address
Carr 165 KM 5.6
Bo Quebrada Cruz Parcela 106
Toa Alta, PR 00953-0095
Phone
(787) 870-6644
Fax
(787) 870-6644
NPI assigned
Apr 12, 2023
Organization subpart
Yes
Parent organization
FARMACIA DE COMUNIDAD LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Luis Alexis Marrero Nieves, PHARMACY TECHNICIAN
Title
President
Phone
(787) 414-0073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

Carr 165 KM 5.6
Bo Quebrada Cruz Parcela 106
Toa Alta, PR 00953-0095

Mailing address

Urb Palacios de Marbella
915 Calle Magallanes
Toa Alta, PR 00953
Phone (787) 414-0073

Other identifiers 1

IdentifierTypeStateIssuer
039527600MedicaidPR

National Provider Directory

National Provider Directory
Part of
Farmacia de Comunidad LLC

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1104512375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB PALACIOS DE MARBELLA",
            "address_2": "915 CALLE MAGALLANES",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-414-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 165 KM 5.6",
            "address_2": "BO QUEBRADA CRUZ PARCELA 106",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009530095",
            "telephone_number": "787-870-6644",
            "fax_number": "787-870-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA DE COMUNIDAD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FARMACIA DE COMUNIDAD LLC",
        "enumeration_date": "2023-04-12",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "MARRERO NIEVES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-414-0073",
        "authorized_official_credential": "PHARMACY TECHNICIAN"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039527600",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.