Individual provider Active NPI

Ellis Shamyr Aragones, PHARMACIST

  • Pharmacist
  • Fajardo, PR
National Provider Identifier
1407123151
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5147 Issued in PR
Practice address
Calle Marginal
4203
Fajardo, PR 00738-0738
Phone
(787) 860-1603
Fax
(787) 860-1614
NPI assigned
Nov 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 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 5147 PR Primary

Addresses

Primary practice location

Calle Marginal
4203
Fajardo, PR 00738-0738

Mailing address

Calle Torcaz Urbanizacion Hacienda Paloma
#81
Luquillo, PR 00773-0773
Phone (787) 435-9318

Other names 1

  • Ellis Aragones Professional name

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
5147PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients

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": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1407123151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE TORCAZ URBANIZACION HACIENDA PALOMA",
            "address_2": "#81",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007730773",
            "telephone_number": "787-435-9318",
            "fax_number": "787-860-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MARGINAL",
            "address_2": "4203",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007380738",
            "telephone_number": "787-860-1603",
            "fax_number": "787-860-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAGONES",
        "first_name": "ELLIS",
        "middle_name": "SHAMYR",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "5147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIS",
            "last_name": "ARAGONES",
            "credential": "PHARMACYST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.