Organization Active NPI

Farmacia Lourdes, LLC

  • Community/Retail Pharmacy
  • Ponce, PR
National Provider Identifier
1457418774
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FARMACIA LOURDES, LLC
Practice address
Carretera 123
Ste 14
Ponce, PR 00728
Phone
(787) 842-1314
Fax
(787) 842-8185
NPI assigned
Jan 3, 2007
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Laura I Lopez, PHARM DNPI 1356472443
Title
Pharmacist
Phone
(787) 242-7822

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

Carretera 123
Ste 14
Ponce, PR 00728

Mailing address

14 Carr 123
Ponce, PR 00728-2708
Phone (787) 842-1314

Other identifiers 1

IdentifierTypeStateIssuer
2084075OtherPK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190710003078 PR DME Supplier - Pharmacy 3577898790 Practice locations: Ponce, PR
O20220516000763 PR Part B Supplier - Pharmacy 3577898790 Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

14 Carr 123
Ponce, PR 00728
Phone (787) 842-1314

Practitioners & affiliated clinicians

Practitioners 2

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1457418774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CARR 123",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282708",
            "telephone_number": "787-842-1314",
            "fax_number": "787-842-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 123",
            "address_2": "STE 14",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-842-1314",
            "fax_number": "787-842-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA LOURDES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "787-242-7822",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2084075",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.