Organization Active NPI

Vanessa Perez

  • Community/Retail Pharmacy
  • Ciales, PR
National Provider Identifier
1164433736
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18-F-2387 Issued in PR
Legal business name
VANESSA PEREZ
Practice address
Carr 149 KM 18.0 Bo Pesas
Ciales, PR 00638
Phone
(787) 871-2305
Fax
(787) 871-2541
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Vanessa Perez, RPH
Title
Pharmacist
Phone
(787) 871-2305

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 18-F-2387 PR Primary

Addresses

Primary practice location

Carr 149 KM 18.0 Bo Pesas
Ciales, PR 00638

Mailing address

PO Box 5000
Camuy, PR 00627-5000
Phone (787) 421-6977

Other identifiers 1

IdentifierTypeStateIssuer
2087091OtherPK

Other names 1

  • SUPER FARMACIA BELLA VISTA Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1164433736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5000",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006275000",
            "telephone_number": "787-421-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 149 KM 18.0 BO PESAS",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "00638",
            "telephone_number": "787-871-2305",
            "fax_number": "787-871-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA PEREZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "787-871-2305",
        "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": "18-F-2387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087091",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER FARMACIA BELLA VISTA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ciales, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.