Individual provider Active NPI

Victor Jayson Vargas-Alvarez, PHARMD

  • Pharmacist
  • Guaynabo, PR
National Provider Identifier
1194242727
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6285 Issued in PR
Practice address
Cardinal Health PR 120 - Int'L Distribution Center
Carr. 165 KM. 2.4 Building 10 Local a
Guaynabo, PR 00965
Phone
(787) 625-4697
NPI assigned
Aug 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6285 PR Primary

Addresses

Primary practice location

Cardinal Health PR 120 - Int'L Distribution Center
Carr. 165 KM. 2.4 Building 10 Local a
Guaynabo, PR 00965

Mailing address

Cardinal Health P.R. 120 - Int'L Distribution Center
Carr. 165 KM. 2.4 Building 10 Local a
Guaynabo, PR 00965

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
6285PRMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1194242727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARDINAL HEALTH P.R. 120 - INT'L DISTRIBUTION CENTER",
            "address_2": "CARR. 165 KM. 2.4 BUILDING 10 LOCAL A",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARDINAL HEALTH PR 120 - INT'L DISTRIBUTION CENTER",
            "address_2": "CARR. 165 KM. 2.4 BUILDING 10 LOCAL A",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00965",
            "telephone_number": "787-625-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS-ALVAREZ",
        "first_name": "VICTOR",
        "middle_name": "JAYSON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-24",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.