Individual provider Active NPI

Lisney Gregori Vazquez, PHARMD

  • Pharmacist
  • Humacao, PR
National Provider Identifier
1114631694
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS64852 Issued in FL
Practice address
Carr PR3 KM 82.5 #11
Centro Comercial Humacao Shopping
Humacao, PR 00791
Phone
(787) 852-8480
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7073 PR
Pharmacist 183500000X PS64852 FL Primary

Addresses

Primary practice location

Carr PR3 KM 82.5 #11
Centro Comercial Humacao Shopping
Humacao, PR 00791

Mailing address

PO Box 984
Las Piedras, PR 00771-0984
Phone (787) 963-7430

Other identifiers 1

IdentifierTypeStateIssuer
4829710OtherPRDRIVER LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address LISNEY.GREGORI@OUTLOOK.COM Direct
Direct Messaging Address lisney.gregori@outlook.com Other

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

LicenseStateTypeSpecialty
PS64852FLMDPharmacist
7073PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1114631694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 984",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007710984",
            "telephone_number": "787-963-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR PR3 KM 82.5 #11",
            "address_2": "CENTRO COMERCIAL HUMACAO SHOPPING",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORI VAZQUEZ",
        "first_name": "LISNEY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "7073",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS64852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "4829710",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LISNEY.GREGORI@OUTLOOK.COM",
            "affiliation": "N",
            "endpointDescription": "PERSONAL EMAIL. Share only contact information. Do not share HIPAA protected patient information.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Do not share HIPAA protected information.",
            "address_1": "CALLE 2 E21 URB LOS ROSALES",
            "city": "HUMACAO",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisney.gregori@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Do not include confidential patient information (HIPPA). Share contact information only.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Share contact information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Only not HIPAA protected information",
            "address_1": "CALLE 2 E21 URB LOS ROSALES",
            "city": "HUMACAO",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.