Organization Active NPI

Farmacia Villa Andalucia

  • Pharmacy
  • San Juan, PR
National Provider Identifier
1427028851
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
07F0297 Issued in PR
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, 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
Mrs. Iris Lugo
Title
Pharmacist, Owner
Phone
(787) 761-7605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20210225001765 PR Part B Supplier - Mass Immunization (Roster Biller Only) 4688089675 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.