Active NPI
Farmacia Pontezuela 24 LLC
- Community/Retail Pharmacy
- Carolina, PR
National Provider Identifier
1720145238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 18-F-2889
- Legal business name
- FARMACIA PONTEZUELA 24 LLC
- Practice address
- C 9 Ave Pontezuela Vistamar
Cond Golden Tower
Carolina, PR 00983 - Phone
- (787) 769-5240
- Fax
- (787) 757-0021
- NPI assigned
- Jan 3, 2007
- 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
- Jose Sanchez
- Title
- President/Owner
- Phone
- (787) 769-5240
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 18-F-2889 | PR | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
C 9 Ave Pontezuela Vistamar
Cond Golden Tower
Carolina, PR 00983
Mailing address
PO Box 29619
San Juan, PR 00929-0619
Phone (787) 769-5240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2166399 | Other | PK |
Other names 1
- Farmacia Pontezuela 24
National Provider Directory
National Provider Directory- Tax ID family
- Farmacia Pontezuela 24
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Canovanas, PR
- NPI 1972644060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493251200000",
"number": "1720145238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29619",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009290619",
"telephone_number": "787-769-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C 9 AVE PONTEZUELA VISTAMAR",
"address_2": "COND GOLDEN TOWER",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-769-5240",
"fax_number": "787-757-0021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARMACIA PONTEZUELA 24 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2017-04-27",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "787-769-5240"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PR",
"license": "18-F-2889",
"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": "2166399",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Farmacia Pontezuela 24",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.