Organization Active NPI

SFC Pharmacy LLC

  • Community/Retail Pharmacy
  • Hatillo, PR
National Provider Identifier
1558979823
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SFC PHARMACY LLC
Doing business as
Super Farmacia Corcovada
Practice address
Carr 493 KM 1.2
Bo. Carrizales
Hatillo, PR 00659
Phone
(787) 820-4747
NPI assigned
Jul 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Authorized official

Name
Edgardo J Barreto
Title
President
Phone
(787) 597-8416

Specialties & licenses 1

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

Addresses

Primary practice location

Carr 493 KM 1.2
Bo. Carrizales
Hatillo, PR 00659

Mailing address

PO Box 140328
Arecibo, PR 00614-0328
Phone (787) 820-4747

Other names 2

  • Super Farmacia Corcovada Doing business as
  • Super Farmacia Corcovada 2 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210224002530 PR Part B Supplier - Pharmacy 9931514981 Practice locations: Hatillo, PR

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.

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744416000000",
    "number": "1558979823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140328",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140328",
            "telephone_number": "787-820-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 493 KM 1.2",
            "address_2": "BO. CARRIZALES",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-820-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SFC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A",
        "authorized_official_last_name": "BARRETO",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-597-8416"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Super Farmacia Corcovada",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Super Farmacia Corcovada 2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Super Farmacia Corcovada 2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hatillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.