Individual provider Active NPI

Jenniffer Lopez Suarez

  • Pharmacist
  • Guayama, PR
National Provider Identifier
1083760979
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
004944 Issued in PR
Practice address
Barrio Puente de Jobos
Carr #3 KM 149.9
Guayama, PR 00784
Phone
(787) 864-8060
Fax
(787) 864-8061
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

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
Pharmacist 183500000X 004944 PR Primary

Addresses

Primary practice location

Barrio Puente de Jobos
Carr #3 KM 149.9
Guayama, PR 00784

Mailing address

PO Box 2497
Guayama, PR 00785-2497
Phone (787) 864-8060

Other identifiers 1

IdentifierTypeStateIssuer
4944OtherPRLIC DE FARMACEUTICA

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
004944PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia M&F Past Accepting new patients

Organizations & group practices 1

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": "1083760979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2497",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007852497",
            "telephone_number": "787-864-8060",
            "fax_number": "787-864-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO PUENTE DE JOBOS",
            "address_2": "CARR #3 KM 149.9",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-8060",
            "fax_number": "787-864-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ SUAREZ",
        "first_name": "JENNIFFER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "004944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC DE FARMACEUTICA",
            "identifier": "4944",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, 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.