Active NPI
Vilma A Pagan, PH
- Pharmacist
- Juana Diaz, PR
National Provider Identifier
1164688404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3443
- 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, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3443 | Other | PR | 2008-051060 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3443 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pharmacy
- Juana Diaz, PR
- NPI 1376695767
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.