Individual provider Active NPI

Nicolle Yarie Perez Ayala, PHARMD

  • Pharmacist
  • Toa Baja, PR
National Provider Identifier
1306544911
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7077 Issued in PR
Practice address
Urbanizacion Brisas del Campanero 2 293 Calle 7 E10
Toa Baja, PR 00949-4871
Phone
(797) 786-6306
NPI assigned
Feb 22, 2023
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7077 PR Primary

Addresses

Primary practice location

Urbanizacion Brisas del Campanero 2 293 Calle 7 E10
Toa Baja, PR 00949-4871

Mailing address

Urb Brisas del Campanero II 293 Calle Aquamarina E10
Toa Baja, PR 00949
Phone (939) 579-9026

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
7077PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1306544911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB BRISAS DEL CAMPANERO II 293 CALLE AQUAMARINA E10",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "939-579-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION BRISAS DEL CAMPANERO 2 293 CALLE 7 E10",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494871",
            "telephone_number": "797-786-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ AYALA",
        "first_name": "NICOLLE",
        "middle_name": "YARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "7077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.