Organization Active NPI

Super Farmacia Barbosa Inc

  • Community/Retail Pharmacy
  • San Juan, PR
National Provider Identifier
1821136334
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15F0606 Issued in PR
Legal business name
SUPER FARMACIA BARBOSA INC
Practice address
327 Ave Barbosa
San Juan, PR 00917-3314
Phone
(787) 763-8477
Fax
(787) 765-3461
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Aida Diaz
Title
Administrator
Phone
(787) 763-8477

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 15F0606 PR Primary

Addresses

Primary practice location

327 Ave Barbosa
San Juan, PR 00917-3314

Mailing address

327 Ave Barbosa
San Juan, PR 00917-3314
Phone (787) 763-8477

Other identifiers 1

IdentifierTypeStateIssuer
2084238OtherPK

Other names 1

  • SUPER FARMACIA BARBOSA Doing business as

National Provider Directory

National Provider Directory

Locations

327 Ave Barbosa
San Juan, PR 00917
Phone (787) 763-8477

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1821136334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 AVE BARBOSA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173314",
            "telephone_number": "787-763-8477",
            "fax_number": "787-765-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 AVE BARBOSA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173314",
            "telephone_number": "787-763-8477",
            "fax_number": "787-765-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER FARMACIA BARBOSA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "AIDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-763-8477"
    },
    "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": "15F0606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2084238",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER FARMACIA BARBOSA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.