Individual provider Active NPI

Andres Colon, PHARMACY TECHNICIAN

  • Pharmacy Technician
  • Ciales, PR
National Provider Identifier
1265440259
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
4758 Issued in PR
Practice address
Bo Campamento 500 Carr 149
Suite 01
Ciales, PR 00638-9661
Phone
(787) 871-3105
Fax
(787) 871-3122
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 4758 PR Primary

Addresses

Primary practice location

Bo Campamento 500 Carr 149
Suite 01
Ciales, PR 00638-9661

Mailing address

500 Carr 149 Ste 1
Ciales, PR 00638-9661
Phone (787) 871-3105

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
4758PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia Expreso Current Accepting new patients

Locations

500 Carr 149
Ste 1
Ciales, PR 00638
Phone (787) 871-3105

Organizations & group practices 1

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1265440259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CARR 149 STE 1",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006389661",
            "telephone_number": "787-871-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO CAMPAMENTO 500 CARR 149",
            "address_2": "SUITE 01",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006389661",
            "telephone_number": "787-871-3105",
            "fax_number": "787-871-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "ANDRES",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "4758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ciales, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.