Organization Active NPI

Farmacia Galeria

  • Pharmacy
  • Juncos, PR
National Provider Identifier
1215480983
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
18-F-3380 Issued in PR
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2162144OtherPK

Other names 1

  • Farmacia Galeria Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210414002376 PR Part B Supplier - Pharmacy 5193133049 Practice locations: Juncos, PR

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.