Farmacia Pontezuela 24 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

17-F-3332 Issued in PR

Legal business name

FARMACIA PONTEZUELA 24 LLC

Practice address

Calle Autonomia
Ste 72
Canovanas, PR 00729-3249

Phone

(787) 876-2174

NPI assigned

Feb 9, 2007

Organization subpart

No

Name

Jose Sanchez

Title

Owner

Phone

(787) 649-7450

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

• Farmacia Pontezuela 24 LLC

  • Community/Retail Pharmacy
  • Carolina, PR
  • NPI 1720145238
  NPD tax ID

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judith Santiago, RPH

  • Pharmacist
  • Canovanas, PR
  • NPI 1528107463
  NPD (past)

Tax ID family

Farmacia Pontezuela 24 (2 organizations share this tax ID)

Locations

• Farmacia Watto Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2016.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1972644060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29619",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290619",
            "telephone_number": "787-876-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE AUTONOMIA",
            "address_2": "STE 72",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293249",
            "telephone_number": "787-876-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA PONTEZUELA 24 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-649-7450"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "17-F-3332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2156146",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia Watto",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Elizabeth Febo
• Dianily Feliciano Sosa, PSY.D
• Javier Feliciano Sr., R.N.
• Krystle Marie Feliciano

• All providers in Canovanas, PR
• Community/Retail Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.