Organization Active NPI

Super Farmacia Derkes Inc

  • Community/Retail Pharmacy
  • Guayama, PR
National Provider Identifier
1851499255
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SUPER FARMACIA DERKES INC
Practice address
8 Calle Derkes E
Guayama, PR 00784-4936
Phone
(787) 864-2112
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Ana Sued
Title
Pharm D
Phone
(787) 864-2516

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X BF3104724 PR
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

8 Calle Derkes E
Guayama, PR 00784-4936

Mailing address

PO Box 2133
Guayama, PR 00785-2133
Phone (787) 864-2112

Other identifiers 1

IdentifierTypeStateIssuer
4018619OtherPRNABP

National Provider Directory

National Provider Directory

Locations

8 Calle Derkes E
Guayama, PR 00784
Phone (787) 864-2112

28 Calle Derkes W
Guayama, PR 00784
Phone (787) 864-2112

Practitioners & affiliated clinicians

Practitioners 1

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1851499255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2133",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007852133",
            "telephone_number": "787-864-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CALLE DERKES E",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007844936",
            "telephone_number": "787-864-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER FARMACIA DERKES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "SUED",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "PHARM D",
        "authorized_official_telephone_number": "787-864-2516"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PR",
            "license": "BF3104724",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4018619",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.