Active NPI
Genepharma Corp.
Doing business as Farmacias Plaza 17
- Community/Retail Pharmacy
- San Juan, PR
National Provider Identifier
1902026727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 18-F3398
- 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, 2024
- 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
- Aneliese Ayala
- Title
- Vice President
- Phone
- (787) 692-2449
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4015308 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 2
- FARMACIAS PLAZA 17
- Farmacia Rey #5
National Provider Directory
National Provider Directory- Tax ID family
- Farmacias Plaza 11
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.
-
- Pharmacist
- San Juan, PR
- NPI 1154542306
-
- Pharmacist
- San Juan, PR
- NPI 1598215691
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.