Active NPI
Farmacia del Pueblo de Vega Alta, Inc.
- Community/Retail Pharmacy
- Vega Alta, PR
National Provider Identifier
1891819348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FARMACIA DEL PUEBLO DE VEGA ALTA, INC.
- Practice address
- Carr 2 KM 30. 1 Bo. Espinoza
Vega Alta, PR 00692 - Phone
- (787) 883-2065
- Fax
- (787) 623-8599
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sofia B Marrero Medina, PHARMD
- Title
- President
- Phone
- (787) 883-2065
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 08F2462 | PR | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
Carr 2 KM 30. 1 Bo. Espinoza
Vega Alta, PR 00692
Mailing address
300 Ave la Sierra Apt 29
San Juan, PR 00926-4337
Phone (787) 883-2065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4021894 | Other | PR | NABP |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Juncos, PR
- NPI 1093468704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729468800000",
"number": "1891819348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 AVE LA SIERRA APT 29",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009264337",
"telephone_number": "787-883-2065",
"fax_number": "787-623-8599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 2 KM 30. 1 BO. ESPINOZA",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "787-883-2065",
"fax_number": "787-623-8599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARMACIA DEL PUEBLO DE VEGA ALTA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A",
"authorized_official_last_name": "MARRERO MEDINA",
"authorized_official_first_name": "SOFIA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-883-2065",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "PR",
"license": "08F2462",
"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": "4021894",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vega Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.