Individual provider Active NPI

Mayra Adanellys Lopez-Munoz, RPH, PHARM D.

  • Pharmacist
  • Hatillo, PR
National Provider Identifier
1124250477
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4705 Issued in PR
Practice address
119 Calle Vidal Felix
Hatillo, PR 00659-1818
Phone
(787) 385-9221
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4705 PR Primary
Pharmacist 183500000X 42827 FL

Addresses

Primary practice location

119 Calle Vidal Felix
Hatillo, PR 00659-1818

Mailing address

PO Box 147
Hatillo, PR 00659-0147
Phone (787) 385-9221

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
42827FLMDPharmacist
4705PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1124250477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006590147",
            "telephone_number": "787-385-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 CALLE VIDAL FELIX",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006591818",
            "telephone_number": "787-385-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-MUNOZ",
        "first_name": "MAYRA",
        "middle_name": "ADANELLYS",
        "name_prefix": "Dr.",
        "credential": "RPH, PHARM D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4705",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "42827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.