Organization Active NPI

Super Farmacia Mi Btotica

  • Community/Retail Pharmacy
  • Carolina, PR
National Provider Identifier
1740321959
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
09-F-1740 Issued in PR
Legal business name
SUPER FARMACIA MI BTOTICA
Practice address
Ignacio Arzuaga Street #5-E
Carolina, PR 00985
Phone
(787) 769-0058
Fax
(787) 768-0855
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mayte L Vizcarrondo
Title
Farmaceutica
Phone
(787) 630-7989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 09-F-1740 PR Primary

Addresses

Primary practice location

Ignacio Arzuaga Street #5-E
Carolina, PR 00985

Mailing address

Ignacio Arzuaga Street #5-E
Carolina, PR 00985
Phone (787) 769-0058

Other identifiers 2

IdentifierTypeStateIssuer
4021301OtherPRNABP
DF-02403-4OtherPRASSMCA NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1740321959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "IGNACIO ARZUAGA STREET #5-E",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-769-0058",
            "fax_number": "787-768-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IGNACIO ARZUAGA STREET #5-E",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-769-0058",
            "fax_number": "787-768-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER FARMACIA MI BTOTICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "VIZCARRONDO",
        "authorized_official_first_name": "MAYTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FARMACEUTICA",
        "authorized_official_telephone_number": "787-630-7989"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "09-F-1740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4021301",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSMCA NUMBER",
            "identifier": "DF-02403-4",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 2023; 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.