Individual provider Active NPI

Jose Antonio Burgos, PHARMD

  • Pharmacist
  • Bayamon, PR
National Provider Identifier
1124558127
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
06278 Issued in PR
Practice address
Carr PR-167 Intersection PR-829
CVS Pharmacy
Bayamon, PR 00957
Phone
(787) 730-3580
NPI assigned
Jun 13, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 06278 PR Primary

Addresses

Primary practice location

Carr PR-167 Intersection PR-829
CVS Pharmacy
Bayamon, PR 00957

Mailing address

Carr 167 Int 829
CVS Pharmacy
Bayamon, PR 00957

Other practice location 1

1 Rexville Plaza STE 13
CVS Pharmacy
Bayamon, PR 00957
Phone (787) 797-2950

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
06278PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Caribe Pharmacy Management LLC Past Accepting new patients
Caribe Pharmacy Management LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124558127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 167 INT 829",
            "address_2": "CVS PHARMACY",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR PR-167 INTERSECTION PR-829",
            "address_2": "CVS PHARMACY",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-730-3580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Rexville Plaza STE 13",
            "address_2": "CVS Pharmacy",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00957",
            "country_code": "US",
            "telephone_number": "787-797-2950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "06278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.