Supertienda Familiar Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

17-F-3302 Issued in PR

Legal business name

SUPERTIENDA FAMILIAR INC

Practice address

San Francisco Ste 255
San Juan, PR 00901-1724

Phone

(787) 722-0335

Fax

(787) 725-8292

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Juan Fernandez Fernandez

Title

Owner

Phone

(787) 508-9306

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FARMACIA LUMA Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wilnelia Suarez

  • Pharmacy Technician
  • San Juan, PR
  • NPI 1487865416
  NPD (past)
• Jose Abdiel Velez, PHARMACIST

  • Pharmacist
  • San Juan, PR
  • NPI 1518176791
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1730122110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79514",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009849514",
            "telephone_number": "787-722-0335",
            "fax_number": "787-725-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN FRANCISCO STE 255",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009011724",
            "telephone_number": "787-722-0335",
            "fax_number": "787-725-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERTIENDA FAMILIAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "FERNANDEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-508-9306",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "17-F-3302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038292300",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2085367",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA LUMA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FARMACIA LUMA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in San Juan, PR
• Providers in San Juan, PR by specialty
• Community/Retail Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.