Active NPI
Harriel Acosta Medina, PHARMD
- Pharmacist
- Carolina, PR
National Provider Identifier
1104534270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2413
- Practice address
- 65 Infantry & Jesus Fragoso
Carolina, PR 00983 - Phone
- (787) 769-4122
- NPI assigned
- Nov 8, 2022
- Last updated
- Nov 8, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 2413 | PR | Primary |
Addresses
Primary practice location
65 Infantry & Jesus Fragoso
Carolina, PR 00983
Mailing address
PMB 254
PO Box 2500
Toa Baja, PR 00951
Phone (787) 219-5858
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 |
|---|---|---|---|
| 2413 | PR | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1104534270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 254",
"address_2": "PO BOX 2500",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "00951",
"telephone_number": "787-219-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 INFANTRY & JESUS FRAGOSO",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-769-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA MEDINA",
"first_name": "HARRIEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-08",
"last_updated": "2022-11-08",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "2413",
"primary": true
}
],
"identifiers": [],
"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 Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.