Active NPI
Jennifer King
- Pharmacy Technician
- Ponce, PR
National Provider Identifier
1013300474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 9038
- Practice address
- 8169 Concordia Street Cond. San Vicente
Suite 412
Ponce, PR 00717 - Phone
- (787) 284-5884
- Fax
- (787) 284-5874
- NPI assigned
- Mar 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 9038 | PR | Primary |
Addresses
Primary practice location
8169 Concordia Street Cond. San Vicente
Suite 412
Ponce, PR 00717
Mailing address
8169 Concordia Street Cond. San Vicente
Suite 412
Ponce, PR 00717
Phone (787) 284-5884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9038 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1013300474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8169 CONCORDIA STREET COND. SAN VICENTE",
"address_2": "SUITE 412",
"city": "PONCE",
"state": "PR",
"postal_code": "00717",
"telephone_number": "787-284-5884",
"fax_number": "787-284-5874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8169 CONCORDIA STREET COND. SAN VICENTE",
"address_2": "SUITE 412",
"city": "PONCE",
"state": "PR",
"postal_code": "00717",
"telephone_number": "787-284-5884",
"fax_number": "787-284-5874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-10",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "9038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.