Organization Active NPI

Farmacia Isla Verde

Doing business as Super Farmacia Isla Verde

  • Community/Retail Pharmacy
  • Carolina, PR
National Provider Identifier
1932574191
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18-F-3407 Issued in PR
Legal business name
FARMACIA ISLA VERDE
Doing business as
Super Farmacia Isla Verde
Practice address
1035 Calle Mar Amarillo Marginal Villamar Ao16
Isla Verde
Carolina, PR 00979
Phone
(787) 548-7559
NPI assigned
Dec 14, 2015
Last updated
Dec 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Dr. Brenda Cruz, PHARMDNPI 1912431719
Title
President
Phone
(787) 548-7559

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 18-F-3407 PR Primary

Addresses

Primary practice location

1035 Calle Mar Amarillo Marginal Villamar Ao16
Isla Verde
Carolina, PR 00979

Mailing address

3409 Ave Isla Verde
Apt 602
Carolina, PR 00979-4970
Phone (787) 548-7559

Other names 1

  • Super Farmacia Isla Verde Doing business as

National Provider Directory

National Provider Directory

Locations

1035 Marginal Villamar
Carolina, PR 00979
Phone (787) 200-0380

1035 Marginal Villamar
#16
Carolina, PR 00979
Phone (787) 548-7559

Practitioners & affiliated clinicians

Practitioners 1

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": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1932574191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 AVE ISLA VERDE",
            "address_2": "APT 602",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009794970",
            "telephone_number": "787-548-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 CALLE MAR AMARILLO MARGINAL VILLAMAR AO16",
            "address_2": "ISLA VERDE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00979",
            "telephone_number": "787-548-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA ISLA VERDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-548-7559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "18-F-3407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Super Farmacia Isla Verde",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.