Organization Active NPI

Genepharma Corp.

Doing business as Farmacias Plaza 17

  • Community/Retail Pharmacy
  • San Juan, PR
National Provider Identifier
1902026727
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18-F3398 Issued in PR
Legal business name
GENEPHARMA CORP.
Doing business as
Farmacias Plaza 17
Farmacia Rey #5
Practice address
Ave. Borinquen #2263, Barrio Obrero, Santurce
San Juan, PR 00915
Phone
(787) 305-2020
Fax
(787) 689-9291
NPI assigned
Apr 26, 2007
Last updated
Feb 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Aneliese Ayala
Title
Vice President
Phone
(787) 692-2449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 18-F3398 PR Primary

Addresses

Primary practice location

Ave. Borinquen #2263, Barrio Obrero, Santurce
San Juan, PR 00915

Mailing address

PO Box 260310
San Juan, PR 00926
Phone (787) 692-2449

Other identifiers 1

IdentifierTypeStateIssuer
4015308OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 2

  • FARMACIAS PLAZA 17 Doing business as
  • Farmacia Rey #5 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmacias Plaza 1111 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2263 Ave Borinquen
San Juan, PR 00915
Phone (787) 620-9617

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1902026727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260310",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-692-2449",
            "fax_number": "787-740-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. BORINQUEN #2263, BARRIO OBRERO, SANTURCE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00915",
            "telephone_number": "787-305-2020",
            "fax_number": "787-689-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEPHARMA CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2024-02-02",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "ANELIESE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "787-692-2449"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "18-F3398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4015308",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIAS PLAZA 17",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FARMACIAS PLAZA 17",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Farmacia Rey #5",
            "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 Feb 2, 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.