Organization Active NPI

Virna L Martinez Colon

  • Community/Retail Pharmacy
  • Hatillo, PR
National Provider Identifier
1962543348
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
08-F-2353 Issued in PR
Legal business name
VIRNA L MARTINEZ COLON
Practice address
Campo Alegre Carr 130 KM 11.6
Hatillo, PR 00659
Phone
(787) 898-9861
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Mrs. Virna L Martinez, BSPHNPI 1790013415
Title
Chief Pharmacist
Phone
(787) 898-8616

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 08-F-2353 PR Primary

Addresses

Primary practice location

Campo Alegre Carr 130 KM 11.6
Hatillo, PR 00659

Mailing address

PO Box 142275
Arecibo, PR 00614-2275
Phone (787) 898-8616

Other identifiers 1

IdentifierTypeStateIssuer
4015029OtherPRNABP

Other names 1

  • farmacia campo alegre Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190510001834 PR Part B Supplier - Pharmacy 1254674427 Practice locations: Hatillo, PR

National Provider Directory

National Provider Directory

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1962543348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142275",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006142275",
            "telephone_number": "787-898-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAMPO ALEGRE CARR 130 KM 11.6",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-898-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRNA L MARTINEZ COLON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "VIRNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "787-898-8616",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "08-F-2353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4015029",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "farmacia campo alegre",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "farmacia campo alegre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hatillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.