Individual provider Active NPI

Hiram Lopez, PHARMACIST

  • Pharmacist
  • Camuy, PR
National Provider Identifier
1336788280
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
002469 Issued in PR
Practice address
16 Ave Munoz Rivera E
Camuy, PR 00627-2628
Phone
(787) 898-3690
NPI assigned
Dec 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 002469 PR Primary

Addresses

Primary practice location

16 Ave Munoz Rivera E
Camuy, PR 00627-2628

Mailing address

PO Box 1194
Isabela, PR 00662-1194

Other identifiers 1

IdentifierTypeStateIssuer
002469OtherPRPHAMACHIST LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL PharmacyNetwork Direct

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
002469PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grisel Delgado CurrentSince Sep 13, 2020 Accepting new patients

Locations

16 Ave Munoz Rivera E
Camuy, PR 00627
Phone (787) 568-2982

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577145600000",
    "number": "1336788280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1194",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006621194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 AVE MUNOZ RIVERA E",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006272628",
            "telephone_number": "787-898-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "HIRAM",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-24",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "002469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHAMACHIST LICENSE",
            "identifier": "002469",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PharmacyNetwork",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Data",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Data",
            "address_1": "16 Ave Munoz Rivera E",
            "city": "Camuy",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006272628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.