Jessica Marie Rodriguez, RPH

Primary specialty

PharmacyTaxonomy code 333600000X

License

16F2893 Issued in PR

Practice address

10 Ave Laguna
Laguna Garden SHP Ctr. #115
Carolina, PR 00979-6400

Phone

(787) 791-2065

Fax

(787) 253-1002

NPI assigned

Jul 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Premium Pharmacy

  dba Farmacia Luis #3

  • Pharmacy
  • Carolina, PR
  • NPI 1851442859
  NPD (past)

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1417509670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CALLE CUARZO # B11",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007454375",
            "telephone_number": "787-529-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 AVE LAGUNA",
            "address_2": "LAGUNA GARDEN SHP CTR. #115",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796400",
            "telephone_number": "787-791-2065",
            "fax_number": "787-253-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PR",
            "license": "16F2893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gil A Rodriguez, RPH
• Glendy M Rodriguez, SLP
• Gloriana Rodriguez
• Gretchen Rodriguez, MA
• Jackeline Delgado Rodriguez, MSW
• Joseth Antonio Rodriguez, PHARMD
• Leyva Rodriguez, M.S., S.W.
• Lilayla Esther Rodriguez
• Lizbeth Rodriguez, D.M.D.
• Lizzette Rodriguez, MD

• Pharmacy in Carolina, PR
• Providers in Carolina, PR by specialty
• Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.