Organization Active NPI

Farmacia San Antonio

  • Community/Retail Pharmacy
  • Lares, PR
National Provider Identifier
1407984610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07F0975 Issued in PR
Legal business name
FARMACIA SAN ANTONIO
Practice address
Carr. 129 Interseccion Carr. 111 Cruce Mijan
Lares, PR 00669-0063
Phone
(787) 897-2814
Fax
(787) 897-5075
NPI assigned
Mar 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jose A. Romero
Title
Owner
Phone
(787) 897-2814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 07F0975 PR Primary

Addresses

Primary practice location

Carr. 129 Interseccion Carr. 111 Cruce Mijan
Lares, PR 00669-0063

Mailing address

PO Box 63
Lares, PR 00669-0063

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407984610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690063",
            "fax_number": "787-897-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 129 INTERSECCION CARR. 111 CRUCE MIJAN",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690063",
            "telephone_number": "787-897-2814",
            "fax_number": "787-897-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA SAN ANTONIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-897-2814",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "07F0975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.