Organization Active NPI

Farmacia Pontezuela 24 LLC

  • Community/Retail Pharmacy
  • Carolina, PR
National Provider Identifier
1720145238
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18-F-2889 Issued in PR
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

Updated by the provider on Apr 27, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2166399OtherPK

Other names 1

  • Farmacia Pontezuela 24 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmacia Pontezuela 242 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.