Organization Active NPI

Farmacia San Jorge Inc.

  • Community/Retail Pharmacy
  • Ponce, PR
National Provider Identifier
1619044864
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
08-F-2342 Issued in PR
Legal business name
FARMACIA SAN JORGE INC.
Practice address
St. Atocha 87C
Ponce, PR 00731
Phone
(787) 840-5979
Fax
(787) 284-1167
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mrs. Luz E Cruz-Torres, MANAGER
Title
Manager
Phone
(787) 840-5979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 08-F-2342 PR Primary

Addresses

Primary practice location

St. Atocha 87C
Ponce, PR 00731

Mailing address

PO Box 801245
Coto Laurel, PR 00780-1245
Phone (787) 840-5979

Other identifiers 1

IdentifierTypeStateIssuer
08-F-2342OtherPRPHARMACY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1619044864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801245",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007801245",
            "telephone_number": "787-840-5979",
            "fax_number": "787-284-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. ATOCHA 87C",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-840-5979",
            "fax_number": "787-284-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA SAN JORGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "CRUZ-TORRES",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-840-5979",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "08-F-2342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "08-F-2342",
            "state": "PR"
        }
    ],
    "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 Jun 17, 2008; 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.