Individual provider Active NPI

Vilma A Pagan, PH

  • Pharmacist
  • Juana Diaz, PR
National Provider Identifier
1164688404
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3443 Issued in PR
Practice address
HC 1 Box 4046
Juana Diaz, PR 00795-9701
Phone
(787) 837-5445
Fax
(787) 260-7702
NPI assigned
Aug 6, 2008
Last updated
Aug 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3443 PR Primary

Addresses

Primary practice location

HC 1 Box 4046
Juana Diaz, PR 00795-9701

Mailing address

Valle Real 1518
Emperatriz Suite
Ponce, RI 00717-0500
Phone (787) 840-2326

Other identifiers 1

IdentifierTypeStateIssuer
3443OtherPR2008-051060 PR REGISTER PH

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

LicenseStateTypeSpecialty
3443PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia Guayabal 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1164688404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VALLE REAL 1518",
            "address_2": "EMPERATRIZ SUITE",
            "city": "PONCE",
            "state": "RI",
            "postal_code": "007170500",
            "telephone_number": "787-840-2326",
            "fax_number": "787-260-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 4046",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959701",
            "telephone_number": "787-837-5445",
            "fax_number": "787-260-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN",
        "first_name": "VILMA",
        "middle_name": "A",
        "credential": "PH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2008-051060 PR REGISTER PH",
            "identifier": "3443",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.