Active NPI
Suzette Marie Velez, PHARM.D.
- Pharmacist
- Humacao, PR
National Provider Identifier
1043540248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5365
- Practice address
- Carr 3 KM 77.7
Walmart Pharmacy
Humacao, PR 00791 - Phone
- (787) 656-9410
- Fax
- (787) 852-9600
- NPI assigned
- Jan 11, 2010
- Last updated
- Jan 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5365 | PR | Primary |
Addresses
Primary practice location
Carr 3 KM 77.7
Walmart Pharmacy
Humacao, PR 00791
Mailing address
Box 4956
PMB 359
Caguas, PR 00726
Phone (787) 747-2491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5365 | Other | PR | PR PHARMACY LICENCE |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5365 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1043540248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 4956",
"address_2": "PMB 359",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00726",
"telephone_number": "787-747-2491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 3 KM 77.7",
"address_2": "WALMART PHARMACY",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-656-9410",
"fax_number": "787-852-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEZ",
"first_name": "SUZETTE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-11",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5365",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PR PHARMACY LICENCE",
"identifier": "5365",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.