Active NPI
Vanessa Perez
- Community/Retail Pharmacy
- Ciales, PR
National Provider Identifier
1164433736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 18-F-2387
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2087091 | Other | PK |
Other names 1
- SUPER FARMACIA BELLA VISTA
National Provider Directory
National Provider DirectoryNPI 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.