Active NPI
Dennisse Mendez, PHARMD
- Pharmacist
- Fajardo, PR
National Provider Identifier
1275826968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5455
- Practice address
- 4203 Calle Marginal
Fajardo, PR 00738 - Phone
- (787) 860-1603
- NPI assigned
- May 27, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 5455 | PR | Primary |
Addresses
Primary practice location
4203 Calle Marginal
Fajardo, PR 00738
Mailing address
4203 Calle Marginal
Fajardo, PR 00738
Phone (787) 860-1603
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5455 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306454400000",
"number": "1275826968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4203 CALLE MARGINAL",
"city": "FAJARDO",
"state": "PR",
"postal_code": "00738",
"telephone_number": "787-860-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4203 CALLE MARGINAL",
"city": "FAJARDO",
"state": "PR",
"postal_code": "00738",
"telephone_number": "787-860-1603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "DENNISSE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-27",
"last_updated": "2011-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fajardo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.