Juan Gabriel Jose Medrano, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

1386874097 Issued in DC

Practice address

1345 Park Rd NW
Washington, DC 20010-2307

Phone

(202) 777-1078

NPI assigned

Jul 16, 2009

Last updated

Dec 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Giant of Maryland LLC

  dba Giant Pharmacy 378

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1538192885
  NPD (past)
• Giant of Maryland LLC

  dba Giant Pharmacy

  • Community/Retail Pharmacy
  • Parkville, MD
  • NPI 1639938020
  NPD (past)

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1386874097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 PARK RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102307",
            "telephone_number": "202-390-9630",
            "fax_number": "844-411-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 PARK RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102307",
            "telephone_number": "202-777-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "JUAN",
        "middle_name": "GABRIEL JOSE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-16",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "1386874097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Medley, MD
• Sofia Medley, HHA
• Sylvia Renee Medley, M.D.
• Serena Medor
• Herberth Medrano Romero
• Marie Estela Medrano
• Nicolette Medrano
• Rebecca I Medrano, LCSW-C
• Medride Transport LLC
• Medstaff Associates

• Pharmacist in Washington, DC
• Providers in Washington, DC by specialty
• Pharmacist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.