NPIMap

Organization Active NPI

Farmacia San Jose Humacao LLC

Doing business as Farmacia San Jose

  • Community/Retail Pharmacy
  • Humacao, PR
National Provider Identifier
1396886693
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17F1029 Issued in PR
Legal business name
FARMACIA SAN JOSE HUMACAO LLC
Doing business as
Farmacia San Jose
Practice address
Centro Comercial San Jose 11
375 Calle Dr Vidal Este
Humacao, PR 00791
Phone
(787) 852-9494
Fax
(787) 850-7811
NPI assigned
Feb 9, 2007
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Mr. Ariel Efren Perez Velazquez, PHARM DNPI 1891334918
Title
Pharmacist
Phone
(787) 298-9705

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 NU
Community/Retail Pharmacy 3336C0003X 17F1029 PR Primary

Addresses

Primary practice location

Centro Comercial San Jose 11
375 Calle Dr Vidal Este
Humacao, PR 00791

Mailing address

Centro Comercial San Jose
375 Calle Dr Vidal Este Local 11
Humacao, PR 00791
Phone (787) 852-9494

Other identifiers 1

IdentifierTypeStateIssuer
2084712OtherPK

Other names 1

  • Farmacia San Jose Doing business as

National Provider Directory

National Provider Directory

Locations

375 Calle Dr Vidal E
Ste 11
Humacao, PR 00791

Practitioners & affiliated clinicians

Practitioners 4

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": "1736380800000",
    "number": "1396886693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTRO COMERCIAL SAN JOSE",
            "address_2": "375 CALLE DR VIDAL ESTE LOCAL 11",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-9494",
            "fax_number": "787-850-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO COMERCIAL SAN JOSE 11",
            "address_2": "375 CALLE DR VIDAL ESTE",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-9494",
            "fax_number": "787-850-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA SAN JOSE HUMACAO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "PEREZ VELAZQUEZ",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_middle_name": "EFREN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "787-298-9705",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "17F1029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2084712",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia San Jose",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.