NPIMap

Organization Active NPI

Su Farmacia Amiga Inc.

  • Community/Retail Pharmacy
  • Caguas, PR
National Provider Identifier
1174611735
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
20-F-3196 Issued in PR
Legal business name
SU FARMACIA AMIGA INC.
Doing business as
Su Farmacia Amiga Inc.
Practice address
Ave Las Americas Bu-1 Res Bairoa
Caguas, PR 00725
Phone
(787) 743-6434
Fax
(787) 745-5660
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Authorized official

Name
Polita Torres, PHARMACISTNPI 1164510632
Title
Owner
Phone
(787) 743-6434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 20-F-3196 PR Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

Ave Las Americas Bu-1 Res Bairoa
Caguas, PR 00725

Mailing address

PO Box 1861
Caguas, PR 00726-1861
Phone (787) 743-6434

Other identifiers 2

IdentifierTypeStateIssuer
DF015214MedicaidPR
2084977OtherPK

Other names 1

  • SU FARMACIA AMIGA INC. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1174611735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1861",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007261861",
            "telephone_number": "787-743-6434",
            "fax_number": "787-745-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LAS AMERICAS BU-1 RES BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-743-6434",
            "fax_number": "787-745-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SU FARMACIA AMIGA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "POLITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-743-6434",
        "authorized_official_credential": "PHARMACIST"
    },
    "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": "20-F-3196",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DF015214",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2084977",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SU FARMACIA AMIGA INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SU FARMACIA AMIGA INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.