Individual provider Active NPI

Freddy Molina

  • Pharmacy Technician
  • Toa Baja, PR
National Provider Identifier
1336340728
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
5540 Issued in PR
Practice address
Carretera 687 Parcela 136 Bo Sabana Seca
Sabana Seca
Toa Baja, PR 00952
Phone
(787) 479-3763
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 5540 PR Primary

Addresses

Primary practice location

Carretera 687 Parcela 136 Bo Sabana Seca
Sabana Seca
Toa Baja, PR 00952

Mailing address

PO Box 1404
Sabana Seca
Toa Baja, PR 00952
Phone (787) 479-3763

Other identifiers 1

IdentifierTypeStateIssuer
5540OtherPR5540

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

State licenses

LicenseStateTypeSpecialty
5540PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336340728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1404",
            "address_2": "SABANA SECA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00952",
            "telephone_number": "787-479-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 687 PARCELA 136 BO SABANA SECA",
            "address_2": "SABANA SECA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00952",
            "telephone_number": "787-479-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "FREDDY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "5540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "5540",
            "identifier": "5540",
            "state": "PR"
        }
    ],
    "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 Jul 8, 2007; 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.