Individual provider Active NPI

Stefanie Rosado Casiano, PHARMD

  • Pharmacist
  • San Juan, PR
National Provider Identifier
1275050395
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6445 Issued in PR
Practice address
65TH Infantery Shopping Ctr
San Juan, PR 00923
Phone
(787) 767-1636
Fax
(787) 767-1122
NPI assigned
Aug 29, 2017
Last updated
Aug 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6445 PR Primary

Addresses

Primary practice location

65TH Infantery Shopping Ctr
San Juan, PR 00923

Mailing address

65TH Infantery Shopping Ctr
San Juan, PR 00923
Phone (787) 767-1636

Other identifiers 2

IdentifierTypeStateIssuer
6445OtherPRPHARMACY
6445OtherPRPHARMACIST

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

State licenses

LicenseStateTypeSpecialty
6445PRMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1275050395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65TH INFANTERY SHOPPING CTR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-767-1636",
            "fax_number": "787-767-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65TH INFANTERY SHOPPING CTR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-767-1636",
            "fax_number": "787-767-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO CASIANO",
        "first_name": "STEFANIE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "6445",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "6445",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.