Individual provider Active NPI

Pedro J Colon Cardona I, PHARM

  • Pharmacist
  • Santa Isabel, PR
National Provider Identifier
1255904918
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2055 Issued in PR
Practice address
11.5 KM Bo. Jauca
#393
Santa Isabel, PR 00757-0075
Phone
(787) 845-2400
NPI assigned
Jul 21, 2021
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2055 PR Primary

Addresses

Primary practice location

11.5 KM Bo. Jauca
#393
Santa Isabel, PR 00757-0075

Mailing address

PO Box 621
Salinas, PR 00751-0621
Phone (787) 813-6131

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

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1255904918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007510621",
            "telephone_number": "787-813-6131",
            "fax_number": "787-824-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11.5 KM BO. JAUCA",
            "address_2": "#393",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007570075",
            "telephone_number": "787-845-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON CARDONA",
        "first_name": "PEDRO",
        "middle_name": "J",
        "name_suffix": "I",
        "credential": "PHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "2055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Isabel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.