Individual provider Active NPI

Fermin Garcia Plaza, RPH

  • Pharmacist
  • Las Piedras, PR
National Provider Identifier
1356636021
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3608 Issued in PR
Practice address
Walgreen's - Las Piedras Shopping Center
Las Piedras, PR 00771
Phone
(787) 733-5670
Fax
(787) 733-5741
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 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 3608 PR Primary

Addresses

Primary practice location

Walgreen's - Las Piedras Shopping Center
Las Piedras, PR 00771

Mailing address

Calle Tomas Diaz Rivera - 130
Paseo de Los Artesanos
Las Piedras, PR 00771-9650
Phone (787) 914-6327

Other identifiers 1

IdentifierTypeStateIssuer
3608OtherPRSTATE LICENSE

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

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1356636021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE TOMAS DIAZ RIVERA - 130",
            "address_2": "PASEO DE LOS ARTESANOS",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007719650",
            "telephone_number": "787-914-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALGREEN'S - LAS PIEDRAS SHOPPING CENTER",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-733-5670",
            "fax_number": "787-733-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA PLAZA",
        "first_name": "FERMIN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3608",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.