SUPER FARMACIA LIZETTE, INC
SUPER FARMACIA LIZETTE, INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1679506125, based in Jayuya, PR. The organization lists 2 taxonomy classifications, with Durable Medical Equipment & Medical Supplies recorded as primary.
Getting there
The practice address on file is 103GMO ESTEVES ST, Jayuya, PR 00664. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4130500001 | PR | Durable Medical Equipment & Medical… primary |
| 07-F-1565 | PR | Pharmacy |
This provider holds licence 4130500001 issued in PR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Pharmacy
- PAC ID
- 5991032575
- Enrollment ID
- O20190805001756
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Pharmacy. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Durable Medical Equipment & Medical Supplies covers
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. NUCC Health Care Provider Taxonomy, code 332B00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 4130500001 | PR | primary |
| 333600000X | Pharmacy | 07-F-1565 | PR |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1679506125 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 8, 2006 |
| Last updated | Mar 7, 2023 |
| Status | Active |
| Practice address |
103GMO ESTEVES ST Jayuya, PR 00664 (787) 828-0755 Fax (787) 828-6908 |
| Mailing address |
PO BOX 1528 Jayuya, PR 00664 |
| Other identifiers |
07-F-1565
· Other (PR) DF-02185-7 · Other (PR) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 7 | 9 | 5 | 0 | 6 | 1 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 5 | 9 | 1 | 0 | 3 | 1 | 4 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.