Individual provider Active NPI

Rosa I Vega, PHARMACIST RPH

  • Pharmacist
  • Maunabo, PR
National Provider Identifier
1114079662
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4471 Issued in PR
Practice address
Calle Barcelo #17
Tu Farmacia Familiar
Maunabo, PR 00707
Phone
(787) 861-4855
Fax
(787) 861-1056
NPI assigned
Jan 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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 4471 PR Primary

Addresses

Primary practice location

Calle Barcelo #17
Tu Farmacia Familiar
Maunabo, PR 00707

Mailing address

HC02 Box 3911
Maunabo, PR 00707-9568
Phone (787) 861-1702

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
4471PRMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114079662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC02 BOX 3911",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "007079568",
            "telephone_number": "787-861-1702",
            "fax_number": "787-861-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BARCELO #17",
            "address_2": "TU FARMACIA FAMILIAR",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "00707",
            "telephone_number": "787-861-4855",
            "fax_number": "787-861-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "ROSA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "PHARMACIST RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maunabo, 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.