Individual provider Active NPI

Norma I Machuca, R.PH

  • Community/Retail Pharmacy
  • Carolina, PR
National Provider Identifier
1194364166
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
004212 Issued in PR
Practice address
2550 Ave de Diego
Carolina, PR 00987-4800
Phone
(787) 762-8412
Fax
(787) 762-8479
NPI assigned
Dec 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 004212 PR Primary

Addresses

Primary practice location

2550 Ave de Diego
Carolina, PR 00987-4800

Mailing address

PO Box 360186
San Juan, PR 00936-0186
Phone (787) 635-4055

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CVS Health Information Exchange (HIE)

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
004212PRMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Caribe Pharmacy Management LLC Community/Retail Pharmacy PastSince Dec 29, 2019 Accepting new patients
Caribe Pharmacy Management LLC Community/Retail Pharmacy PastSince Dec 29, 2019 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": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1194364166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360186",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360186",
            "telephone_number": "787-635-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 AVE DE DIEGO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009874800",
            "telephone_number": "787-762-8412",
            "fax_number": "787-762-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHUCA",
        "first_name": "NORMA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "004212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CVS",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2550 Ave De Diego",
            "city": "Carolina",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009874800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.