Individual provider Active NPI

Dobryna Acevedo-Zamot

  • Pharmacist
  • Carolina, PR
National Provider Identifier
1104110550
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4510 Issued in PR
Practice address
Ave Campo Rico & El Comandante
Walgreens Drugstore 2803
Carolina, PR 00982-0000
Phone
(787) 776-2003
NPI assigned
Jun 2, 2011
Sex
Female
Sole proprietor
No

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
4510PRMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4510 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

Ave Campo Rico & El Comandante
Walgreens Drugstore 2803
Carolina, PR 00982-0000

Mailing address

Campo Rico & El Comandante Ave
Walgreens 2803
Carolina, PR 00982
Phone (787) 776-2003

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
4510OtherPRPHARMACY LICENSE NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 2, 2011.

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1104110550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAMPO RICO & EL COMANDANTE AVE",
            "address_2": "WALGREENS 2803",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-776-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE CAMPO RICO & EL COMANDANTE",
            "address_2": "WALGREENS DRUGSTORE 2803",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009820000",
            "telephone_number": "787-776-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO-ZAMOT",
        "first_name": "DOBRYNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "4510",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.