Super Farmacia del Pueblo Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

17-F-1938 Issued in PR

Legal business name

SUPER FARMACIA DEL PUEBLO INC

Doing business as

Super Farmacia la Monserrate

Practice address

235 Barbosa St
Moca, PR 00676

Phone

(787) 877-2405

Fax

(787) 877-8822

NPI assigned

Feb 21, 2007

Last updated

Sep 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Doris Alonzo

Title

Manager

Phone

(787) 877-2405

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• SUPER FARMACIA LA MONSERRATE Doing business as

Medicare fee-for-service enrollment

Enrolled in PR2 enrollments

Enrollment records 2

Tax ID family

Farmacia la Monserrate2 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.

• Super Farmacia del Pueblo Inc

  dba Farmacia la Monserrate

  • Durable Medical Equipment & Medical Supplies
  • Moca, PR
  • NPI 1932303492
  NPD tax ID

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1760527006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 BARBOSA ST",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-877-2405",
            "fax_number": "787-877-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 BARBOSA ST",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-877-2405",
            "fax_number": "787-877-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER FARMACIA DEL PUEBLO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A",
        "authorized_official_last_name": "ALONZO",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-877-2405"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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-1938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2086162",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER FARMACIA LA MONSERRATE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose M. Soto, LPN
• Astrid De Los a. Sotomayor
• Wanda L Sotomayor
• Specialty Intensive Care Inc
• Ivan N Suarez- Irizarry, M.D.
• Super Farmacia del Pueblo Inc (Farmacia la Monserrate)
• Tactical Medic Respond Inc
• Ivan Teron-Mendez, M.D.
• The Best G Emergency Medical Service
• TJ's Inc

• Community/Retail Pharmacy in Moca, PR
• Providers in Moca, 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 Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.