Organization Active NPI

Super Farmacia Triple R, Inc.

  • Community/Retail Pharmacy
  • Vega Baja, PR
National Provider Identifier
1689752941
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
11-F-1206 Issued in PR
Legal business name
SUPER FARMACIA TRIPLE R, INC.
Practice address
4020 Carr 2
Suite 28, Plaza Jardines
Vega Baja, PR 00693-6141
Phone
(787) 855-6033
Fax
(787) 855-6033
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Ms. Luz R Rolon, PHARMACISTNPI 1609913623
Title
Vice President
Phone
(787) 855-6033

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 11-F-1206 PR Primary

Addresses

Primary practice location

4020 Carr 2
Suite 28, Plaza Jardines
Vega Baja, PR 00693-6141

Mailing address

4020, Carr #2
Suite 28, Plaza Jardines
Vega Baja, PR 00693
Phone (787) 855-6033

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1689752941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020, CARR #2",
            "address_2": "SUITE 28, PLAZA JARDINES",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-855-6033",
            "fax_number": "787-855-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 CARR 2",
            "address_2": "SUITE 28, PLAZA JARDINES",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006936141",
            "telephone_number": "787-855-6033",
            "fax_number": "787-855-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER FARMACIA TRIPLE R, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "ROLON",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "787-855-6033",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "11-F-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.