Marie Sara De Jesus Melendez, RPH
Individual provider Active NPI Pharmacist · Coamo, PR
NPI 1194166108 · NPPES record last updated Jul 8, 2013
Key facts
- NPI
- 1194166108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5116 (PR)
- Practice address
- 106 Calle Piel Canela
Coamo, PR 00769 - Phone
- (787) 803-6802
- NPI assigned
- Jul 8, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5116 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5116 | PR | Yes |
Addresses
Primary practice location
106 Calle Piel Canela
Coamo, PR 00769
Mailing address
Paseo Real 134 Calle Imperio
Coamo, PR 00769
Phone (787) 614-3111
Other providers in Coamo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.