Nicole Viera Jimenez

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

8003 Issued in PR

Practice address

17000 Carr 3
Canovanas, PR 00729-2881

Phone

(787) 957-8050

Fax

(787) 957-8049

NPI assigned

Nov 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Walgreen Co

  dba Walgreens #13844

  • Pharmacy
  • Canovanas, PR
  • NPI 1265720437
  NPD (past)

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1396400073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CALLE GRAN CANARIA",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007713075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 CARR 3",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007292881",
            "telephone_number": "787-957-8050",
            "fax_number": "787-957-8049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Calle Gran Canaria",
            "address_purpose": "LOCATION",
            "city": "Las Piedras",
            "state": "PR",
            "postal_code": "007713075",
            "country_code": "US",
            "telephone_number": "787-238-7333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIERA JIMENEZ",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "PR",
            "license": "8003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nicole.viera@upr.edu",
            "affiliation": "N",
            "address_1": "4 Calle Gran Canaria",
            "city": "Las Piedras",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007713075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mariana Gabriela Vazquez
• Geraline N Vega, RN, MSN, EDD
• Ana C Velazquez, CPL 1235
• Veoveo Optika, LLC
• Wilfredo Jose Vicente, MD
• Alejandra Andresa Villagrasa Flores, M.D.
• Angelica Cristina Villalobos, PA
• Wal-Mart Puerto Rico Inc (Walmart Pharmacy 10-5802)
• Wal-Mart Puerto Rico Inc (Walmart Vision Center 30-5802)
• Walgreen Co (Walgreens #13844)

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Canovanas, PR
• Providers in Canovanas, PR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.