Active NPI
SFC Pharmacy LLC
- Community/Retail Pharmacy
- Hatillo, PR
National Provider Identifier
1558979823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Super Farmacia Corcovada 2
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210224002530 | PR | Part B Supplier - Pharmacy | 9931514981 | Practice locations: Hatillo, PR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Hatillo, PR
- NPI 1326812017
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.