Active NPI
Farmacia Galeria
- Pharmacy
- Juncos, PR
National Provider Identifier
1215480983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 18-F-3380
- Legal business name
- FARMACIA GALERIA
- Doing business as
- Farmacia Galeria
- Practice address
- Bo Ceiba Norte Carr 31 KM 24.5
Galeria de Juncos Shopping Center
Juncos, PR 00777 - Phone
- (787) 705-2239
- Fax
- (787) 705-0674
- NPI assigned
- Jul 29, 2016
- Last updated
- Jul 29, 2016
- 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
- Angel Pena Cruz
- Title
- Administrador
- Phone
- (787) 705-2239
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 18-F-3380 | PR | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
Bo Ceiba Norte Carr 31 KM 24.5
Galeria de Juncos Shopping Center
Juncos, PR 00777
Mailing address
PO Box 1257
Juncos, PR 00777-1257
Phone (787) 705-2239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2162144 | Other | PK |
Other names 1
- Farmacia Galeria
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210414002376 | PR | Part B Supplier - Pharmacy | 5193133049 | Practice locations: Juncos, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469750400000",
"number": "1215480983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1257",
"city": "JUNCOS",
"state": "PR",
"postal_code": "007771257",
"telephone_number": "787-705-2239",
"fax_number": "787-705-0674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO CEIBA NORTE CARR 31 KM 24.5",
"address_2": "GALERIA DE JUNCOS SHOPPING CENTER",
"city": "JUNCOS",
"state": "PR",
"postal_code": "00777",
"telephone_number": "787-705-2239",
"fax_number": "787-705-0674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARMACIA GALERIA",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-29",
"last_updated": "2016-07-29",
"status": "A",
"authorized_official_last_name": "PENA CRUZ",
"authorized_official_first_name": "ANGEL",
"authorized_official_title_or_position": "ADMINISTRADOR",
"authorized_official_telephone_number": "787-705-2239"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PR",
"license": "18-F-3380",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2162144",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Farmacia Galeria",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Juncos, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.