Active NPI
Javier Heredia
- Pharmacy Technician
- Santa Isabel, PR
National Provider Identifier
1114064136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 5977
- Practice address
- #37 Luis Munoz Rivera
Santa Isabel, PR 00757 - Phone
- (787) 845-2545
- Fax
- (787) 845-5005
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5977 | PR | Primary |
Addresses
Primary practice location
#37 Luis Munoz Rivera
Santa Isabel, PR 00757
Mailing address
#37 Luis Munoz Rivera
Santa Isabel, PR 00757
Phone (787) 845-2545
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5977 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacare Inc | 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.
-
- Community/Retail Pharmacy
- Santa Isabel, PR
- NPI 1598801813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114064136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#37 LUIS MUNOZ RIVERA",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "00757",
"telephone_number": "787-845-2545",
"fax_number": "787-845-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#37 LUIS MUNOZ RIVERA",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "00757",
"telephone_number": "787-845-2545",
"fax_number": "787-845-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEREDIA",
"first_name": "JAVIER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "5977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Isabel, 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.