Individual provider Active NPI

Johanny Rivera

  • Pharmacy Technician
  • Bayamon, PR
National Provider Identifier
1023164076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
2782 Issued in PR
Practice address
76 Calle Dr Veve
Bayamon, PR 00961-6306
Phone
(787) 620-9600
Fax
(787) 740-3666
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 2782 PR Primary

Addresses

Primary practice location

76 Calle Dr Veve
Bayamon, PR 00961-6306

Mailing address

X4 Calle Onix
Urb Valle de Cerro Gordo
Bayamon, PR 00957-6860
Phone (787) 243-3238

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

LicenseStateTypeSpecialty
2782PRMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alivia Home Delivery LLC Current Accepting new patients
Alivia Specialty, LLC Current Accepting new patients
Alivia Infusion Services LLC Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023164076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "X4 CALLE ONIX",
            "address_2": "URB VALLE DE CERRO GORDO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009576860",
            "telephone_number": "787-243-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CALLE DR VEVE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616306",
            "telephone_number": "787-620-9600",
            "fax_number": "787-740-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JOHANNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "2782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.