Super Farmacia Santa Ana

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

07-F-1347 Issued in PR

Legal business name

SUPER FARMACIA SANTA ANA

Practice address

Carretera # 2 KM 29.1
Parcelas Carmen
Vega Alta, PR 00692

Phone

(787) 270-0593

Fax

(787) 270-2503

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Luis E. Malave

Title

Administrator

Phone

(787) 270-0593

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1770628455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76A CALLE JILGUERO",
            "address_2": "PARCELAS CARMEN",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006925810",
            "telephone_number": "787-270-0593",
            "fax_number": "787-270-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA # 2 KM 29.1",
            "address_2": "PARCELAS CARMEN",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-270-0593",
            "fax_number": "787-270-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER FARMACIA SANTA ANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "MALAVE",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-270-0593",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "07-F-1347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Vega Alta, PR
• Providers in Vega Alta, 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 Aug 11, 2008; 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.