Organization Active NPI

Jorge L Colon

Doing business as Super Farmacia Familiar

  • Community/Retail Pharmacy
  • Mayaguez, PR
National Provider Identifier
1346391919
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07-F-2029 Issued in PR
Legal business name
JORGE L COLON
Doing business as
Super Farmacia Familiar
Practice address
Carr. 64 ( Old341) KM 3.4 Bo Mani
Mayaguez, PR 00680
Phone
(787) 265-5910
Fax
(787) 265-5910
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Jorge L ColonNPI 1164967592
Title
Pharmcist-Owner
Phone
(787) 265-5910

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 07-F-2029 PR Primary

Addresses

Primary practice location

Carr. 64 ( Old341) KM 3.4 Bo Mani
Mayaguez, PR 00680

Mailing address

PO Box 1851
Moca, PR 00676-1851
Phone (787) 265-5910

Other names 1

  • SUPER FARMACIA FAMILIAR Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200615001588 PR Part B Supplier - Pharmacy 0749602050 Practice locations: Mayaguez, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1346391919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1851",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006761851",
            "telephone_number": "787-265-5910",
            "fax_number": "787-265-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 64 ( OLD341) KM 3.4 BO MANI",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-265-5910",
            "fax_number": "787-265-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE L COLON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHARMCIST-OWNER",
        "authorized_official_telephone_number": "787-265-5910"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "07-F-2029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER FARMACIA FAMILIAR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.