Individual provider Active NPI

Yanira Rodriguez III, RPH

  • Pharmacist
  • Ponce, PR
National Provider Identifier
1295811230
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4902 Issued in PR
Practice address
Walgreens #997 Ave Emilio Fagot
Plaza Fagot Suite 1
Ponce, PR 00716-3721
Phone
(787) 841-2135
Fax
(787) 812-2176
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4902 PR Primary

Addresses

Primary practice location

Walgreens #997 Ave Emilio Fagot
Plaza Fagot Suite 1
Ponce, PR 00716-3721

Mailing address

PO Box 560332
Guayanilla, PR 00656-0332
Phone (787) 835-4644

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

LicenseStateTypeSpecialty
4902PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1295811230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560332",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006560332",
            "telephone_number": "787-835-4644",
            "fax_number": "787-812-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALGREENS #997 AVE EMILIO FAGOT",
            "address_2": "PLAZA FAGOT SUITE 1",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007163721",
            "telephone_number": "787-841-2135",
            "fax_number": "787-812-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "YANIRA",
        "name_suffix": "III",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.

Verify at the official NPI Registry.