Active NPI
Edith Marta Pagan, RPH
- Pharmacist
- San Juan, PR
National Provider Identifier
1295262152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 05476
- Practice address
- 9615 Ave Los Romeros Ste 515
San Juan, PR 00926-7062 - Phone
- (787) 708-3490
- Fax
- (401) 216-3705
- NPI assigned
- May 22, 2017
- Sex
- Female
- 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 | 05476 | PR | Primary |
Addresses
Primary practice location
9615 Ave Los Romeros Ste 515
San Juan, PR 00926-7062
Mailing address
PO Box 9360
Caguas, PR 00726-9360
Phone (787) 424-3360
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05476 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495411200000",
"number": "1295262152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9360",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007269360",
"telephone_number": "787-424-3360",
"fax_number": "401-216-3705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9615 AVE LOS ROMEROS STE 515",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009267062",
"telephone_number": "787-708-3490",
"fax_number": "401-216-3705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGAN",
"first_name": "EDITH",
"middle_name": "MARTA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-22",
"last_updated": "2017-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "05476",
"primary": true
}
],
"identifiers": [],
"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 May 22, 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.