NPIMap

Organization Active NPI

Super Farmacia Nueva

  • Community/Retail Pharmacy
  • Naranjito, PR
National Provider Identifier
1427114792
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17F2025 Issued in PR
Legal business name
SUPER FARMACIA NUEVA
Practice address
91 Calle Georgetti
Naranjito, PR 00719-3025
Phone
(787) 869-2290
Fax
(787) 869-1872
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Sol RiveraNPI 1699982892
Title
President
Phone
(787) 869-2290

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
Community/Retail Pharmacy 3336C0003X 17F2025 PR Primary

Addresses

Primary practice location

91 Calle Georgetti
Naranjito, PR 00719-3025

Mailing address

91 Calle Georgetti
Naranjito, PR 00719-3025
Phone (787) 869-2290

Other identifiers 1

IdentifierTypeStateIssuer
2085927OtherPK

Other names 1

  • SUPER FARMACIA NUEVA Doing business as

National Provider Directory

National Provider Directory

Locations

91 Calle Georgetti
Naranjito, PR 00719
Phone (787) 869-2290

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1427114792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CALLE GEORGETTI",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007193025",
            "telephone_number": "787-869-2290",
            "fax_number": "787-869-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CALLE GEORGETTI",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007193025",
            "telephone_number": "787-869-2290",
            "fax_number": "787-869-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER FARMACIA NUEVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "SOL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-869-2290"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "17F2025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2085927",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER FARMACIA NUEVA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naranjito, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.