Individual provider Active NPI

Carlos M Pagan Monsegur, CPHT

  • Pharmacy Technician
  • Hormigueros, PR
National Provider Identifier
1245896190
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
10312 Issued in PR
Practice address
608 Calle Yaguez
Estancias del Rio
Hormigueros, PR 00660-0066
Phone
(939) 865-0347
NPI assigned
May 16, 2019
Last updated
May 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 30036828 PR
Pharmacy Technician 183700000X 10312 PR Primary

Addresses

Primary practice location

608 Calle Yaguez
Estancias del Rio
Hormigueros, PR 00660-0066

Mailing address

608 Calle Yaguez
Estancias del Rio
Hormigueros, PR 00660
Phone (939) 865-0347

Other identifiers 2

IdentifierTypeStateIssuer
188736OtherPRPHARMACY TECHNICIAN
30036828OtherPRPTCB

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL HORMIGUEROS
Other URL HORMIGUEROS

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
30036828PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1245896190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 CALLE YAGUEZ",
            "address_2": "ESTANCIAS DEL RIO",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "00660",
            "telephone_number": "939-865-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 CALLE YAGUEZ",
            "address_2": "ESTANCIAS DEL RIO",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006600066",
            "telephone_number": "939-865-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN MONSEGUR",
        "first_name": "CARLOS",
        "middle_name": "M",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "30036828",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "10312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY TECHNICIAN",
            "identifier": "188736",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTCB",
            "identifier": "30036828",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HORMIGUEROS",
            "affiliation": "N",
            "address_1": "estancias del rio calle yaguez 608",
            "city": "Hormigueros",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006600066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HORMIGUEROS",
            "affiliation": "N",
            "address_1": "estancias del rio calle yaguez 608",
            "city": "Hormigueros",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006600066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hormigueros, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.