NPIMap

Organization Active NPI

Gladys Velez Morales

Doing business as Super Farmacia Familiar

  • Community/Retail Pharmacy
  • Moca, PR
National Provider Identifier
1114969789
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
19-F-0196 Issued in PR
Legal business name
GLADYS VELEZ MORALES
Doing business as
Super Farmacia Familiar
Practice address
Carr 420 KM 0.5 Bo Voladoras
Moca, PR 00676
Phone
(787) 877-7322
Fax
(787) 877-3342
NPI assigned
Jun 11, 2006
Last updated
Apr 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Gladys Velez- Morales, RPH
Title
Owner / Pharmacist
Phone
(787) 877-7322

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 19-F-0196 PR Primary

Addresses

Primary practice location

Carr 420 KM 0.5 Bo Voladoras
Moca, PR 00676

Mailing address

PO Box 1563
Moca, PR 00676-1563
Phone (787) 877-7322

Other identifiers 1

IdentifierTypeStateIssuer
2084662OtherPK

Other names 1

  • SUPER FARMACIA FAMILIAR Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1114969789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1563",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006761563",
            "telephone_number": "787-877-7322",
            "fax_number": "787-877-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 420 KM 0.5 BO VOLADORAS",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-877-7322",
            "fax_number": "787-877-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADYS VELEZ MORALES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "VELEZ- MORALES",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "OWNER / PHARMACIST",
        "authorized_official_telephone_number": "787-877-7322",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "19-F-0196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2084662",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER FARMACIA FAMILIAR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moca, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.