Organization Active NPI

Su Farmacia Modelo Z.P. Inc.

Doing business as Farmacia Modelo

  • Community/Retail Pharmacy
  • San Sebastian, PR
National Provider Identifier
1174651475
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
003018 Issued in PR
Legal business name
SU FARMACIA MODELO Z.P. INC.
Doing business as
Farmacia Modelo
Practice address
M.J. Cabrero 54
San Sebastian, PR 00685
Phone
(787) 896-1154
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Israel Arce
Title
Technician
Phone
(787) 896-1154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 003018 PR Primary

Addresses

Primary practice location

M.J. Cabrero 54
San Sebastian, PR 00685

Mailing address

St. 5 # D30 Urb. Venturini
San Sebastian, PR 00685
Phone (787) 896-5954

Other identifiers 1

IdentifierTypeStateIssuer
003018OtherPRTECHNICIAN

Other names 1

  • FARMACIA MODELO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Su Farmacia Modelo Z P Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174651475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST. 5 # D30 URB. VENTURINI",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-896-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "M.J. CABRERO 54",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-896-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SU FARMACIA MODELO Z.P. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARCE",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "TECHNICIAN",
        "authorized_official_telephone_number": "787-896-1154",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "003018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TECHNICIAN",
            "identifier": "003018",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA MODELO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.