Jean C. Rivera Lopez, PHARMD
Individual provider Active NPI Pharmacist · Seabrook, MD
NPI 1013429281 · NPPES record last updated Oct 28, 2017
Key facts
- NPI
- 1013429281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 25393 (MD)
- Practice address
- 9420 Lanham Severn Rd
Seabrook, MD 20706-2642 - Phone
- (301) 577-5555
- NPI assigned
- Oct 28, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25393 | MD | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25393 | MD | Yes |
Addresses
Primary practice location
9420 Lanham Severn Rd
Seabrook, MD 20706-2642
Mailing address
9122 Baltimore Ave Apt 4037
College Park, MD 20740-1379
Phone (787) 399-0358
Other providers in Seabrook, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.