NPIMap

Organization Active NPI

Farmacia la Rosa de Saron Inc

Doing business as Super Farmacia Villa Toledo

  • Community/Retail Pharmacy
  • Arecibo, PR
National Provider Identifier
1639309545
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17-F-2744 Issued in PR
Legal business name
FARMACIA LA ROSA DE SARON INC
Doing business as
Super Farmacia Villa Toledo
Practice address
132 Calle Umbral
Villa Toledo
Arecibo, PR 00612-9689
Phone
(787) 817-4747
Fax
(787) 817-4646
NPI assigned
Jul 27, 2009
Last updated
May 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Ivis Gonzalez
Title
President
Phone
(787) 226-1770

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 17-F-2744 PR Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

132 Calle Umbral
Villa Toledo
Arecibo, PR 00612-9689

Mailing address

132 Calle Umbral
Urb Villa Toledo
Arecibo, PR 00612-9689
Phone (787) 817-4747

Other identifiers 1

IdentifierTypeStateIssuer
2120882OtherPK

Other names 1

  • SUPER FARMACIA VILLA TOLEDO Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1639309545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 CALLE UMBRAL",
            "address_2": "URB VILLA TOLEDO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006129689",
            "telephone_number": "787-817-4747",
            "fax_number": "787-817-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 CALLE UMBRAL",
            "address_2": "VILLA TOLEDO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006129689",
            "telephone_number": "787-817-4747",
            "fax_number": "787-817-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA LA ROSA DE SARON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "IVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-226-1770"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "17-F-2744",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120882",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER FARMACIA VILLA TOLEDO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.