NPIMap

Organization Active NPI

Lassalle & Vissepo Inc

Doing business as Farmacia San Antonio

  • Community/Retail Pharmacy
  • San Sebastian, PR
National Provider Identifier
1225179328
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17F2724 Issued in PR
Legal business name
LASSALLE & VISSEPO INC
Doing business as
Farmacia San Antonio
Practice address
1488 Ave Emerito Estrada
San Sebastian, PR 00685-3023
Phone
(787) 280-0606
Fax
(787) 896-1177
NPI assigned
Feb 9, 2007
Last updated
Feb 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Luisa Toro, BACHELOR DEGREENPI 1558553644
Title
Owner
Phone
(787) 280-0606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 17F2724 PR Primary

Addresses

Primary practice location

1488 Ave Emerito Estrada
San Sebastian, PR 00685-3023

Mailing address

PO Box 643
San Sebastian, PR 00685-0643
Phone (787) 280-0606

Other identifiers 1

IdentifierTypeStateIssuer
2085350OtherPK

Other names 1

  • FARMACIA SAN ANTONIO 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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1225179328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850643",
            "telephone_number": "787-280-0606",
            "fax_number": "787-896-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 AVE EMERITO ESTRADA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006853023",
            "telephone_number": "787-280-0606",
            "fax_number": "787-896-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASSALLE & VISSEPO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "TORO",
        "authorized_official_first_name": "LUISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-280-0606",
        "authorized_official_credential": "BACHELOR DEGREE"
    },
    "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": "17F2724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2085350",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA SAN ANTONIO",
            "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 Feb 15, 2017; 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.