Active NPI
Farmacia Villa Andalucia
- Pharmacy
- San Juan, PR
National Provider Identifier
1427028851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 07F0297
- Legal business name
- FARMACIA VILLA ANDALUCIA
- Practice address
- Res Villa Andalucia
D1 Calle Frontera Ste 6
San Juan, PR 00926-2578 - Phone
- (787) 761-7605
- NPI assigned
- Jan 26, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Iris Lugo
- Title
- Pharmacist, Owner
- Phone
- (787) 761-7605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 07F0297 | PR | Primary |
Addresses
Primary practice location
Res Villa Andalucia
D1 Calle Frontera Ste 6
San Juan, PR 00926-2578
Mailing address
Res Villa Andalucia
D1 Calle Frontera Ste 6
San Juan, PR 00926-2322
Phone (787) 761-7605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210225001765 | PR | Part B Supplier - Mass Immunization (Roster Biller Only) | 4688089675 | Practice locations: San Juan, PR |
National Provider Directory
National Provider DirectoryLocations
D1 Calle Frontera
Ste 6
San Juan, PR 00926
Phone (787) 292-4643
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.
-
- Pharmacist
- San Juan, PR
- NPI 1326019423
-
- Pharmacist
- San Juan, PR
- NPI 1588204101
-
- Pharmacist
- San Juan, PR
- NPI 1629048061
-
- Pharmacy Technician
- San Juan, PR
- NPI 1326018854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1427028851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RES VILLA ANDALUCIA",
"address_2": "D1 CALLE FRONTERA STE 6",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009262322",
"telephone_number": "787-761-7605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RES VILLA ANDALUCIA",
"address_2": "D1 CALLE FRONTERA STE 6",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009262578",
"telephone_number": "787-761-7605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARMACIA VILLA ANDALUCIA",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LUGO",
"authorized_official_first_name": "IRIS",
"authorized_official_title_or_position": "PHARMACIST, OWNER",
"authorized_official_telephone_number": "787-761-7605",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PR",
"license": "07F0297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.