Active NPI
Kathleen Ortiz
- Pharmacy Technician
- Vega Baja, PR
National Provider Identifier
1417521469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 7495
- Practice address
- Urbanizacion Jardines de Vega Baja C/Jardin de Rosas 10
Vega Baja, PR 00693 - Phone
- (787) 938-7455
- NPI assigned
- May 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 7495 | PR | Primary |
Addresses
Primary practice location
Urbanizacion Jardines de Vega Baja C/Jardin de Rosas 10
Vega Baja, PR 00693
Mailing address
600 Calle Marginal
Bayamon, PR 00959-5857
Phone (787) 785-0411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7495 | Other | PR | 7495 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | pharmacy | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7495 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caribe Pharmacy Management LLC | Current | Accepting new patients | |
| Caribe Pharmacy Management LLC | Past | Accepting new patients |
Locations
600 Calle Marginal
Bayamon, PR 00959
Phone (787) 785-0411
600 Calle Marginal
Bayamon, PR 00959
Phone (787) 785-0411
Organizations & group practices 2
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.
-
dba Farmacia Caridad #35
- Community/Retail Pharmacy
- Bayamon, PR
- NPI 1831421619
-
dba Farmacia Caridad # 38
- Community/Retail Pharmacy
- Carolina, PR
- NPI 1194268482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1417521469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CALLE MARGINAL",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009595857",
"telephone_number": "787-785-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URBANIZACION JARDINES DE VEGA BAJA C/JARDIN DE ROSAS 10",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00693",
"telephone_number": "787-938-7455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-14",
"last_updated": "2021-05-14",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "7495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "7495",
"identifier": "7495",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "pharmacy",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "pharmacy",
"address_1": "calle margina 600 flamboyan gardens",
"city": "bayamon",
"state": "PR",
"country_code": "US",
"postal_code": "00691",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vega Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.