Active NPI
Elsem G Medina Nunez
- Pharmacist
- Moca, PR
National Provider Identifier
1265146641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8034
- Practice address
- Bo Pueblo Carr 110 KM 10.5
Moca, PR 00676 - Phone
- (787) 818-4839
- NPI assigned
- Jan 10, 2023
- Last updated
- Jan 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8034 | PR | Primary |
Addresses
Primary practice location
Bo Pueblo Carr 110 KM 10.5
Moca, PR 00676
Mailing address
PO Box 2340
Moca, PR 00676-2340
Phone (787) 246-2022
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8034 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1265146641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2340",
"city": "MOCA",
"state": "PR",
"postal_code": "006762340",
"telephone_number": "787-246-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO PUEBLO CARR 110 KM 10.5",
"city": "MOCA",
"state": "PR",
"postal_code": "00676",
"telephone_number": "787-818-4839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA NUNEZ",
"first_name": "ELSEM",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-10",
"last_updated": "2023-01-10",
"certification_date": "2023-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "8034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moca, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.