Active NPI
Freddy Molina
- Pharmacy Technician
- Toa Baja, PR
National Provider Identifier
1336340728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 5540
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5540 | Other | PR | 5540 |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5540 | PR | MD | Pharmacist |
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.