Organization Active NPI

Super Farmacia Rodriguez

  • Community/Retail Pharmacy
  • Corozal, PR
National Provider Identifier
1972037638
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
19F3433 Issued in PR
Legal business name
SUPER FARMACIA RODRIGUEZ
Practice address
41 Calle Bou
Corozal, PR 00783-2025
Phone
(787) 859-2415
Fax
(787) 859-2415
NPI assigned
Apr 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Carlos Sanchez
Title
Owner
Phone
(787) 859-2415

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 19F3433 PR Primary

Addresses

Primary practice location

41 Calle Bou
Corozal, PR 00783-2025

Mailing address

41 Calle Bou
Corozal, PR 00783-2025
Phone (787) 859-2415

Other identifiers 1

IdentifierTypeStateIssuer
2168261OtherPK

Other names 1

  • Super Farmacia Rodriguez Doing business as

National Provider Directory

National Provider Directory

Locations

41 Calle Bou
Corozal, PR 00783
Phone (787) 859-2415

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": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1972037638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CALLE BOU",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007832025",
            "telephone_number": "787-859-2415",
            "fax_number": "787-859-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CALLE BOU",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007832025",
            "telephone_number": "787-859-2415",
            "fax_number": "787-859-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER FARMACIA RODRIGUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-859-2415"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "19F3433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168261",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Super Farmacia Rodriguez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corozal, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.